Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | IL |
NPI | 1427106681 |
---|---|
Provider Name | Dr. Scott C Knaack |
First Address | Wheeling, IL 60090-2900 |
Second Address | Wheeling, IL 60090-2900 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2007 |
Last Update Date | 08/07/2007 |