Provider Demographics
NPI:1194042614
Name:KNODEL ENTERPRISES
Entity Type:Organization
Organization Name:KNODEL ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERICH
Authorized Official - Middle Name:H
Authorized Official - Last Name:KNODEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-595-1096
Mailing Address - Street 1:3936 N CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60634-2732
Mailing Address - Country:US
Mailing Address - Phone:224-595-1096
Mailing Address - Fax:773-685-2416
Practice Address - Street 1:3936 N CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60634-2732
Practice Address - Country:US
Practice Address - Phone:224-595-1096
Practice Address - Fax:773-685-2416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-23
Last Update Date:2010-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL347C00000X347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle