Organization Active NPI

Knapp Medical Center, LTD.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1740271964
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-62820 Issued in IL
Legal business name
KNAPP MEDICAL CENTER, LTD.
Practice address
3303 S Halsted St
Suite 100
Chicago, IL 60608-6705
Phone
(773) 890-0800
Fax
(773) 890-5430
NPI assigned
Nov 4, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Keith Charles Knapp Jr., M.D.
Title
Corp. President
Phone
(773) 890-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 036-62820 IL Primary

Addresses

Primary practice location

3303 S Halsted St
Suite 100
Chicago, IL 60608-6705

Mailing address

3303 S Halsted St
Suite 100
Chicago, IL 60608-6705
Phone (773) 890-0800

National Provider Directory

National Provider Directory

Locations

3303 S Halsted St
Ste 100
Chicago, IL 60608
Phone (773) 890-0800

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1740271964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 S HALSTED ST",
            "address_2": "SUITE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606086705",
            "telephone_number": "773-890-0800",
            "fax_number": "773-890-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 S HALSTED ST",
            "address_2": "SUITE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606086705",
            "telephone_number": "773-890-0800",
            "fax_number": "773-890-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNAPP MEDICAL CENTER, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-04",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "KNAPP",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "CORP. PRESIDENT",
        "authorized_official_telephone_number": "773-890-0800",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-62820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.