Search › Illinois › 207Q00000X
Traci Knierim, NP
NPI 1407630940 · on the registry since 2023 · sole proprietor
Practice
- Address
- 420 Broadway Ave E
Mattoon, IL 61938 - Phone
- (217) 512-1370
- Fax
- (217) 775-0736
- Organisation at this address
- Illinois Express Vision Center-Mattoon Inc.
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 3115 Village Office Pl, Champaign, IL
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 363LF0000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-04-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois