Cruz Knight, Wanda E.

Cruz Knight, Wanda E. is an individual health care provider with primary practice located at 909 Davis St Ste 200 , Evanston IL 60201-3664. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Cruz Knight, Wanda E. can be contacted via phone (847) 786-6237.

Contact Information

Primary practice address
909 Davis St Ste 200 Evanston IL 60201-3664
Phone: (847) 786-6237
Fax: (847) 866-6035
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME129993 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01060839A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036101885 Illinois

Profile Details

NPI number 1336131184
LBN Legal business name Cruz Knight, Wanda E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Jan 24th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336131184 NPPES
Ohio Other 421777 WELLCARE
Ohio Other 000000225041 WELLCARE
Ohio Other 7608227 WELLCARE
Ohio Other 000000532538 WELLCARE
Ohio Other 748700 WELLCARE
Ohio Other P00412314 WELLCARE
Ohio MEDICAID 200522970 WELLCARE
Ohio MEDICAID 2770916 WELLCARE
Ohio MEDICAID 019812800 WELLCARE

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