NPI 1265481006 · live from the CMS NPI Registry
Knox Clinic Corp
Family Medicine in Galesburg, IL. National Provider Identifier 1265481006, active.
NPI record
| NPI | 1265481006 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 834 N Seminary St, Galesburg, IL 61401 |
| Practice phone | 309-343-3316 |
| Mailing address | Po Box 9564, Belfast, ME 04915 |
| Enumerated | May 9, 2006 |
| Last updated | November 1, 2013 |
| Authorized official | Sophia Arwood, Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | — (IL) |
| Pediatrics | 208000000X | — (IL) |
| Obstetrics & Gynecology | 207V00000X | — |
| Surgery | 208600000X | — |
| Otolaryngology | 207Y00000X | 036072445 (IL) |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | 036096365 (IL) |
| Psychiatry & Neurology, Neurology | 2084N0400X | 036078282 (IL) |
| Audiologist | 231H00000X | 1740361484 (IL) |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Family Medicine primary | 207Q00000X | — (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.