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NPI Code Detail

MEDICARE: PATRICK M KNIGHT MSW

MEDICARE: PATRICK M KNIGHT MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker150112043IL

General Provider Information

NPI Number : 1245082833
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK M KNIGHT MSW
Provider Business Mailing Address
First Line : 11745 SOUTHWEST HWY
Second Line :
City : PALOS HEIGHTS
State : IL
Zip : 60463-1038
Country : US
Telephone Number : 708-480-9945
Fax Number :
Provider Business Practice Location Address
First Line : 11745 SOUTHWEST HWY
Second Line :
City : PALOS HEIGHTS
State : IL
Zip : 60463-1038
Country : US
Telephone Number : 708-480-9945
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2024
Last Update Date : 04/04/2024

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Directions to “ PATRICK M KNIGHT MSW” Practice Location

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