Provider Demographics
NPI:1720405269
Name:KNOR, WILLIAM (MA, LCPC)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:
Last Name:KNOR
Suffix:
Gender:M
Credentials:MA, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7810 W KINGSTON DR
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-8356
Mailing Address - Country:US
Mailing Address - Phone:708-921-6969
Mailing Address - Fax:
Practice Address - Street 1:7810 W KINGSTON DR
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IL
Practice Address - Zip Code:60423-8356
Practice Address - Country:US
Practice Address - Phone:708-921-6969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-22
Last Update Date:2014-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.007614101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional