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Search › Illinois › 103TC0700X

Michael Knobeloch, PSY.D

NPI 1619396736 · on the registry since 2014

Practice

Address
102 W Kenwood Ave
Suite 120a
Decatur, IL 62526
Phone
(309) 706-3190
Fax
(309) 588-4115
Organisation at this address
Drs Graham & Graham Ltd
Decatur Memorial Hospital
Board Of Trustees Of Southern Illinois University
Inferred from a shared address, not stated in the registry.
Clinicians at this address
62

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Also registered as
101YP2500X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-01-25

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