Stacey L Knowles


Address: 1830 W Foster Ave, Suite Cw, Chicago, IL 60640-1087

Stacey L Knowles (NPI# 1437187069, PAC ID# 7315941069) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.

Physician Overview

Nation Provider ID (NPI) 1437187069
PAC ID by PECOS 7315941069
Professional Enrollment ID I20060912000011
Full Name Stacey L Knowles
Address 1830 W Foster Ave
Suite Cw
Chicago
IL 60640-1087
Gender F
Medical School UNIVERSITY OF MIAMI SCHOOL OF MEDICINE
Graduation Year 1995
Primary Specialty PHYSICAL THERAPY
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
1830 W Foster Ave, Suite Cw, Chicago, IL 60640-1087

Organization Information

Office Location

Street Address 1830 W FOSTER AVE
SUITE CW
City CHICAGO
State IL
Zip 60640-1087

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Competitor

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City CHICAGO
Zip Code 60640
Specialty PHYSICAL THERAPY
City + Specialty CHICAGO + PHYSICAL THERAPY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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