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NPI Code Detail

MEDICARE: DR. JESSICA MARIE KNIGHT D.P.M.

MEDICARE: DR. JESSICA MARIE KNIGHT D.P.M.
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
1213E00000XPodiatrist1942565593IL
2213ES0103XFoot & Ankle Surgery Podiatrist016005720IL
3213ES0131XFoot Surgery Podiatrist016005720IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1016005720OTHERILSTATE LICENSE

General Provider Information

NPI Number : 1942565593
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JESSICA MARIE KNIGHT D.P.M.
Provider Business Mailing Address
First Line : 2650 RIDGE AVE STE 1223
Second Line :
City : EVANSTON
State : IL
Zip : 60201-1700
Country : US
Telephone Number : 847-570-2040
Fax Number :
Provider Business Practice Location Address
First Line : 1200 S. YORK ST.
Second Line :
City : ELMHURST
State : IL
Zip : 60126-5634
Country : US
Telephone Number : 847-646-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2012
Last Update Date : 06/10/2026

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