Most Relevant Information
Provider Data
| NPI Number: | 1003052580 |
| Provider Name: | JOHN ANTHONY KNOERZER LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 149012887 |
Most Important Dates
| Enumeration Date: | 01/05/2009 |
| Last Updated: | 04/11/2011 |
Provider Practice Location
3850 W SUNNYSIDE AVE
#304
CHICAGO
IL
606256331
Practice Location Phone/Fax
| Phone: | 7732341517 |
| Fax: |
Provider Mailing Location
3850 W SUNNYSIDE AVE
UNIT 1
CHICAGO
IL
606256331
Provider Mailing Phone/Fax
| Phone: | 7732341517 |
| Fax: |