Klein, David Eugene
Klein, David Eugene is an sole proprietor health care provider with primary practice located at 4600 N Ravenswood Ave , Chicago IL 60640-4510. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Klein, David Eugene can be contacted via phone (773) 561-7500.Contact Information
Primary practice address
4600 N Ravenswood Ave
Chicago IL 60640-4510
Phone: (773) 561-7500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 5101024326 | Michigan |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | New York | |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 036.159465 | Illinois |
Profile Details
| NPI number | 1003302159 |
|---|---|
| LBN Legal business name | Klein, David Eugene |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 2nd, 2018 |
| Last updated | Nov 8th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003302159 | NPPES |
| Illinois | Other | 036.159465 | ILLINOIS MEDICAL LISCENCE |
| Illinois | Other | 336.118228 | ILLINOIS MEDICAL LISCENCE |
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