Alyssa Nicole Knueven, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

085.005827 Issued in IL

Practice address

3749 W 95TH St
Evergreen Park, IL 60805-2019

Phone

(708) 422-6569

Fax

(708) 499-1511

NPI assigned

May 13, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1396192829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 N BIRCHWOOD DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605404073",
            "telephone_number": "708-653-8993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3749 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052019",
            "telephone_number": "708-422-6569",
            "fax_number": "708-499-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUEVEN",
        "first_name": "ALYSSA",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-13",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085.005827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loree Kinsella, LSW
• Theresa Lynne Klimowski, MED., B.C.B.A.
• Margaret Knapp, LCPC
• Ashley Elizabeth Knight, PA-C
• Anne Knightly
• Kathleen Ann Kociak, RN, MS, GNP-BC
• Mark Anthony Koludrovic, DDS
• Thomas Anthony Koludrovic, DDS
• Emily R Konczal, O.D.
• Goutham Kondapi

• Medical Physician Assistant in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Medical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.