Individual provider · Type 1 NPI

Traci Sumer Knierim, NP

Family Medicine Physician · Mattoon, IL

NPI number 1407630940 Active

Practice location

420 Broadway Ave E
Mattoon, IL 61938-4655

Call (217) 512-1370 Map

Fax (217) 775-0736

Other practice locations

  • 3115 Village Office Pl, Champaign, IL 61822-7673 · (217) 531-4101

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X209028007 (IL)
Family Nurse Practitioner 363LF0000X209028007 (IL)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1407630940

Traci Sumer Knierim, NP's National Provider Identifier is 1407630940, issued on Aug 24, 2023. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Mattoon, IL. The record was last updated on Apr 6, 2026.