| NPI | 1831606433 |
|---|---|
| Doing Business As | THE KNOLLS FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | PAMELA BATES General Manager 309-932-2000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019016453) |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-01-04 |