Provider Demographics
NPI:1225849714
Name:KNOPP, JAMI GABRIELLE (PA-C)
Entity type:Individual
Prefix:
First Name:JAMI
Middle Name:GABRIELLE
Last Name:KNOPP
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 W KING ARTHUR CT
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60067-2619
Mailing Address - Country:US
Mailing Address - Phone:224-433-4662
Mailing Address - Fax:
Practice Address - Street 1:132 W KING ARTHUR CT
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067-2619
Practice Address - Country:US
Practice Address - Phone:224-433-4662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant