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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700974821 NPPES
Illinois MEDICAID 036063080

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