Klamut, Michael

Klamut, Michael is an individual health care provider with primary practice located at 2160 S First Ave Fahey Bdlg, Room 007, Maywood IL 60153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Klamut, Michael can be contacted via phone (708) 216-9000.

Contact Information

Primary practice address
2160 S First Ave Fahey Bdlg, Room 007 Maywood IL 60153
Phone: (708) 216-9000
Fax: (708) 216-4113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 36050084 Illinois

Profile Details

NPI number 1700865086
LBN Legal business name Klamut, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Sep 13th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700865086 NPPES
Illinois MEDICAID 36050084

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