Active NPI
Knapp Medical Center, LTD.
- Family Medicine Physician
- Chicago, IL
National Provider Identifier
1740271964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036-62820
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryLocations
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.