MEDICARE: DR. DAVID R KNOWLES MD

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
1	208800000X	Urology Physician	036114878	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DE2609	OTHER	IL	RAILROAD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881699908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID R KNOWLES MD

Provider Business Mailing Address
First Line	:	4109 S WATER TOWER PL
Second Line	:
City	:	MOUNT VERNON
State	:	IL
Zip	:	62864-6293
Country	:	US
Telephone Number	:	618-244-4060
Fax Number	:	618-205-5817

Provider Business Practice Location Address
First Line	:	4109 S WATER TOWER PL
Second Line	:
City	:	MOUNT VERNON
State	:	IL
Zip	:	62864-6293
Country	:	US
Telephone Number	:	618-244-4060
Fax Number	:	618-205-5817

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	04/20/2017

Similar Medicare Providers

1720057730 — HEARTLAND OCCUPATIONAL MEDICINE PHYSICIANS OF ILLINOIS S C
Practice Location Address:

4117 S WATER TOWER PL , SUITE D
MOUNT VERNON, IL
62864-6293

Practice Phone: 618-242-4848
Practice Fax: 618-242-4198

1053380683 — DR. CHARLES W NEAL M.D.
Practice Location Address:

4117 S WATER TOWER PL , SUITE D
MOUNT VERNON, IL
62864-6293

Practice Phone: 618-242-4848
Practice Fax: 618-242-4198

1366491193 — DR. JACQUES PAPAZIAN M.D.
Practice Location Address:

4117 S WATER TOWER PL , SUITE C
MOUNT VERNON, IL
62864-6293

Practice Phone: 618-242-0672
Practice Fax: 618-242-0862

1164472155 — DAVID J LANE AU.D., CCC-A
Practice Location Address:

4117 S WATER TOWER PL , SUITE C
MOUNT VERNON, IL
62864-6293

Practice Phone: 618-242-0672
Practice Fax: 618-242-0862

1285650838 — JACQUES PAPAZIAN M.D,S.C.
Practice Location Address:

4117 S WATER TOWER PL , SUITE C
MOUNT VERNON, IL
62864-6293

Practice Phone: 618-242-0672
Practice Fax: 618-242-0862

1063424836 — NANCY K KERTZ NP
Practice Location Address:

4117 S WATER TOWER PL , SUITE D
MOUNT VERNON, IL
62864-6293

Practice Phone: 618-242-4848
Practice Fax: 618-242-4198

Directions to “ DR. DAVID R KNOWLES MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.