Provider Demographics
NPI:1659308922
Name:KNOX OB-GYN, LTD
Entity Type:Organization
Organization Name:KNOX OB-GYN, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:K
Authorized Official - Last Name:PIPER
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FACOG
Authorized Official - Phone:309-343-5117
Mailing Address - Street 1:834 N SEMINARY ST
Mailing Address - Street 2:SUITE 402
Mailing Address - City:GALESBURG
Mailing Address - State:IL
Mailing Address - Zip Code:61401-2852
Mailing Address - Country:US
Mailing Address - Phone:309-343-5117
Mailing Address - Fax:309-343-0029
Practice Address - Street 1:834 N SEMINARY ST
Practice Address - Street 2:SUITE 402
Practice Address - City:GALESBURG
Practice Address - State:IL
Practice Address - Zip Code:61401-2852
Practice Address - Country:US
Practice Address - Phone:309-343-5117
Practice Address - Fax:309-343-0029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL4815053OtherBLUE CROSS BLUE SHIELD
IL4815053OtherBLUE CROSS BLUE SHIELD