Knox, Timothy E
Knox, Timothy E is an individual health care provider with primary practice located at 11600 S Kedzie Ave , Merrionette Park IL 60803-6307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Knox, Timothy E can be contacted via phone (708) 272-4150.Contact Information
Primary practice address
11600 S Kedzie Ave
Merrionette Park IL 60803-6307
Phone: (708) 272-4150
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036063080 | Illinois |
Profile Details
| NPI number | 1700974821 |
|---|---|
| LBN Legal business name | Knox, Timothy E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Apr 25th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700974821 | NPPES |
| Illinois | MEDICAID | 036063080 |
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