Doctor Name: | DR. DAVID R KNOX |
NPI Number: | 1033222625 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 036100522 |
Business Practice Address: | 2512 Hurst Dr. Mattoon, IL - 619382500 |
Business Phone Number: | 2172585900 |
Business Fax Number: | 2172585904 |
Mailing Address: | 611 W. Park St., Bwpc URBANA |
State: | IL |
Postal Code: | 618012500 |
Phone Number: | 2173836792 |
Fax Number: | |
NPI Enumeration Date: | 08/16/2006 |
NPI Last Update Date: | 04/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2080A0000X |
License Number: | 036100522 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |