Dr Ricardo Alfonzo Knight, MD, MBA | |
345 Executive Parkway Unit M4, Roc, IL 61107-2474 | |
(847) 305-1954 | |
(815) 381-8665 |
Full Name | Dr Ricardo Alfonzo Knight |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 31 Years |
Location | 345 Executive Parkway Unit M4, Roc, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760436067 | NPI | - | NPPES |
036110166 | Medicaid | IL | |
1902014285 | Other | IL | CORPORATE NPI- INTEGRATIVE REHABMEDICINE S.C. |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 036-110166 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Waukesha Memorial Hospital | Waukesha, WI | Hospital |
Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
Froedtert Memorial Lutheran Hospital | Milwaukee, WI | Hospital |
Community Memorial Hospital | Menomonee falls, WI | Hospital |
Ascension Se Wisconsin Hospital - St Joseph Campus | Milwaukee, WI | Hospital |
East Bank Center, Llc | Loves park, IL | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Integrated Pain Management Sc | 2466427158 | 16 |
Integrative Rehabmedicine Sc | 8022115252 | 10 |
Entity Name | Integrated Pain Management Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447290713 PECOS PAC ID: 2466427158 Enrollment ID: O20040826001155 |
Entity Name | Integrative Rehabmedicine Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902014285 PECOS PAC ID: 8022115252 Enrollment ID: O20070522000532 |
Mailing Address | Practice Location Address |
---|---|
Dr Ricardo Alfonzo Knight, MD, MBA 345 Executive Parkway Suite M4, Rockford, IL 61107 Ph: (847) 305-1954 | Dr Ricardo Alfonzo Knight, MD, MBA 345 Executive Parkway Unit M4, Roc, IL 61107-2474 Ph: (847) 305-1954 |