Individual ProviderJimmie KnightSurgeryAllopathic & Osteopathic PhysiciansPractice Address1750 W Harrison St # 775, Chicago, IL 60612-3825(312) 942-5000(312) 942-5474PECOS EnrollmentBased on the most recent information from CMS, provider Jimmie Knight is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1174102404Provider TypeIndividualFull NameKnight, JimmieTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date4/5/2021Last Updated7/8/2021Contact InformationPractice LocationPractice Address1750 W Harrison St # 775, Chicago, IL 60612-3825Phone(312) 942-5000FaxUnlisted FaxMailing LocationMailing Address1750 W Harrison St # 775, Chicago, IL 60612-3825Phone(312) 942-5474FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208600000XPrimaryDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicense125078191Illinois