Provider Demographics
NPI:1548205875
Name:KNOX, CHRISTINA (DC)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:KNOX
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:733 S WELLS ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-4507
Mailing Address - Country:US
Mailing Address - Phone:312-765-0411
Mailing Address - Fax:312-765-0585
Practice Address - Street 1:733 S WELLS ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60607-4507
Practice Address - Country:US
Practice Address - Phone:312-765-0411
Practice Address - Fax:312-765-0585
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL38009388111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILU85851Medicare UPIN
ILK15921Medicare ID - Type Unspecified
ILF400241098Medicare PIN