Beverly Knigge Medical SC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

209002192 Issued in IL

Legal business name

BEVERLY KNIGGE MEDICAL SC

Practice address

2425 W 22ND Street
Suite 211
Oak Brook, IL 60523-1247

Phone

(630) 568-3912

Fax

(630) 581-5286

NPI assigned

Nov 21, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Beverly Ellen Knigge, APN, CNPNPI 1871585224

Title

Nurse Practitioner

Phone

(630) 248-1236

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Beverly Ellen Knigge, A.P.N., C.N.P.

  • Primary Care Nurse Practitioner
  • Oak Brook, IL
  • NPI 1871585224
  Medicare reassignment Authorized official
• Farah Tazeen, M.D.

  • Internal Medicine Physician
  • Lombard, IL
  • NPI 1447446257
  NPD (past)

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

{
    "created_epoch": "1384992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394150400000",
    "number": "1922438332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 W 22ND STREET",
            "address_2": "SUITE 211",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231247",
            "telephone_number": "630-568-3912",
            "fax_number": "630-581-5286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 W 22ND STREET",
            "address_2": "SUITE 211",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231247",
            "telephone_number": "630-568-3912",
            "fax_number": "630-581-5286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY KNIGGE MEDICAL SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-21",
        "last_updated": "2014-03-07",
        "status": "A",
        "authorized_official_last_name": "KNIGGE",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "630-248-1236",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APN, CNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "209002192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Berry
• Hannah Louise Bertke
• Best Care Services, Inc.
• Maureen Orawiec Best, PHD, CCC-SLP/L, ATP
• Better Choice Home Health, Inc.
• Bridget Bicek, LPC
• Lindsay Bicknell-Hentges, PHD
• Konrad Artur Bienia, MD
• Kaitlin R Biondo, M.H.S., CCC-SLP
• Jason Cordell Birnholz, M.D.

• Primary Care Nurse Practitioner in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Primary Care Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.