Provider Demographics
NPI:1326023714
Name:KNAUS, JOHN V (DO)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:V
Last Name:KNAUS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5747 DEMPSTER ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MORTON GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60053-3056
Mailing Address - Country:US
Mailing Address - Phone:847-663-1030
Mailing Address - Fax:847-663-1039
Practice Address - Street 1:5747 DEMPSTER ST
Practice Address - Street 2:SUITE 100
Practice Address - City:MORTON GROVE
Practice Address - State:IL
Practice Address - Zip Code:60053-3056
Practice Address - Country:US
Practice Address - Phone:847-663-1030
Practice Address - Fax:847-663-1039
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILC45807Medicare UPIN
IL360230Medicare ID - Type UnspecifiedMEDICARE INDIVIDUAL ID#