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1285257469
KORT RODERICK KNOUS
URBANA, IL
NPI
1285257469
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IL 125.076666)
Enumeration Date
2020-05-22
Last Update Date
2020-05-22
Business Address
Dr. KORT RODERICK KNOUS MD
611 W PARK ST
URBANA, IL 61801-2512
Phone number: 224-425-2998
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Mailing Address
Dr. KORT RODERICK KNOUS MD
8121 W NORTH AVE APT 8
WAUWATOSA, WI 53213-1691
Phone number: 224-425-2998
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