Most Relevant Information
Provider Data
| NPI Number: | 1003560814 |
| Provider Name: | MADELINE KNOLL LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/10/2022 |
| Last Updated: | 02/10/2022 |
Provider Practice Location
1580 S MILWAUKEE AVE STE 240
LIBERTYVILLE
IL
600483764
Practice Location Phone/Fax
| Phone: | 8475730662 |
| Fax: |
Provider Mailing Location
267 LIONEL DR
GRAYSLAKE
IL
600302756
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |