Provider Demographics
NPI:1457688160
Name:KNOWLES, COURTNEY ELIZABETH (RD, LDN)
Entity Type:Individual
Prefix:MS
First Name:COURTNEY
Middle Name:ELIZABETH
Last Name:KNOWLES
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7301 NORTH LINCOLN AVENUE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:LINCOLNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60712-1735
Mailing Address - Country:US
Mailing Address - Phone:847-674-5555
Mailing Address - Fax:847-675-7019
Practice Address - Street 1:7301 NORTH LINCOLN AVENUE
Practice Address - Street 2:SUITE 205
Practice Address - City:LINCOLNWOOD
Practice Address - State:IL
Practice Address - Zip Code:60712-1735
Practice Address - Country:US
Practice Address - Phone:847-674-5555
Practice Address - Fax:847-675-7019
Is Sole Proprietor?:No
Enumeration Date:2009-11-17
Last Update Date:2009-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1026283133V00000X
IL164.005158133VN1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal