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Deactivated NPI 1538387493 Deactivated / Inactive NPI Male Practitioner

Dr. Cornelius L Knowles , DDS

Dentist - General Practice • Chicago, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Cornelius Knowles has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 23, 2007
NPI Deactivation Date July 17, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Cornelius Knowles, DDS was a registered Dentist - General Practice practicing in Chicago, IL. Throughout an active medical career spanning 13 years, Dr. Knowles provided care at the practice location at 701 W 111TH ST until profile deactivation on 2020-07-17.

Practice Location & Contact Primary Location

Practice Address

701 W 111th St

Chicago, IL 606283902

Telephone 7739951234
Fax 7739959796
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
1200 Specialists

Practicing in Chicago, IL (5581 Statewide)

Telehealth Adoption Rate
0.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 19011438

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Brenda Taylor , DMD

Dentist - General Practice

NPI 1114017662

Doctor of Dental Medicine

Dr. Lewis Baskins , DDS

Dentist - General Practice

NPI 1831317700

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 17, 2020

Record deactivated on July 17, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 701 W 111TH ST, CHICAGO, IL 606283902 (Tel: 7739951234)

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Updated Business Mailing Address July 08, 2007

Registered at 701 W 111TH ST, CHICAGO, IL 606283902 (Tel: 7739951234)

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Provider Name / Credentials Updated July 08, 2007

Recorded as CORNELIUS KNOWLES, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #19011438 in IL)

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Initial NPI Registration & Enumeration April 23, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538387493
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 23, 2007
Last Update: July 08, 2007
Deactivation Date: July 17, 2020

Mailing Address

701 W 111th St

Chicago, IL 606283902

Phone: 7739951234

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.