Provider Demographics
NPI:1710913793
Name:KNIGHT, CURTIS ADAM (PT)
Entity Type:Individual
Prefix:
First Name:CURTIS
Middle Name:ADAM
Last Name:KNIGHT
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1466 E CHICAGO AVE
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-5915
Mailing Address - Country:US
Mailing Address - Phone:630-544-5187
Mailing Address - Fax:630-544-5190
Practice Address - Street 1:1466 E CHICAGO AVE
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-5915
Practice Address - Country:US
Practice Address - Phone:630-544-5187
Practice Address - Fax:630-544-5190
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070-008398225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL02232583OtherBCBS PROVIDER NUMBER
IL02232583OtherBCBS PROVIDER NUMBER
ILK11761Medicare ID - Type UnspecifiedMEMBER NUMBER