David Knapik
Individual provider Active NPI Speech-Language Pathologist · Delavan, IL
NPI 1417475419 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1417475419
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 146011271 (IL)
- Practice address
- 501 E 2ND St
Delavan, IL 61734-9617 - Phone
- (630) 329-1239
- NPI assigned
- Aug 30, 2017
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146011271 | IL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146011271 | IL | Yes |
Addresses
Primary practice location
501 E 2ND St
Delavan, IL 61734-9617
Mailing address
501 E 2ND St
Delavan, IL 61734-9617
Phone (630) 329-1239
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146011271 | Other | IL | IDFPR |
Other providers in Delavan, IL
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- Joseph Flint
- Rachel Maple
- Jessica Danielle Maquet
- Jens Paul Nuesken
- Phillip Pawson
- Macie Kay Pineda
All providers in Delavan, IL · Speech-Language Pathologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.