Klein, Thomas R.

Klein, Thomas R. is an individual health care provider with primary practice located at 711 W North Ave 209, Chicago IL 60610-1174. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Klein, Thomas R. can be contacted via phone (312) 280-0996.

Contact Information

Primary practice address
711 W North Ave 209 Chicago IL 60610-1174
Phone: (312) 280-0996
Fax: (312) 280-8789
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 036059654 Illinois

Profile Details

NPI number 1588776017
LBN Legal business name Klein, Thomas R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Mar 19th, 2021 - about 4 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 1588776017 NPPES
Illinois MEDICAID 036059654

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