Cheyanne Jade Knollenberg, is a
Speech-language Pathologist based in Oblong, Illinois. Cheyanne Jade Knollenberg is licensed to practice in * (Not Available) (license number ) and her current practice location is
600 W Main St, Oblong, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 592-4225.
NPI number for Cheyanne Jade Knollenberg is 1043083082 and her current mailing address is 12016 N 200th St, Oblong, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043083082.
Healthcare Provider's Profile
| Full Name | Cheyanne Jade Knollenberg |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 600 W Main St, Oblong, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1043083082
- Provider Enumeration Date: 11/01/2023
- Last Update Date: 11/01/2023
Medical Identifiers
Medical identifiers for Cheyanne Jade Knollenberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1043083082 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cheyanne Jade Knollenberg is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Cheyanne Jade Knollenberg, 12016 N 200th St, Oblong, IL 62449-2525 Ph: () - | Cheyanne Jade Knollenberg, 600 W Main St, Oblong, IL 62449-1161 Ph: (618) 592-4225 |
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