Klemm, Lori

Klemm, Lori is an individual health care provider with primary practice located at 2100 Glenwood Avenue , Joliet IL 60435. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Klemm, Lori can be contacted via phone (815) 725-2121.

Contact Information

Primary practice address
2100 Glenwood Avenue Joliet IL 60435
Phone: (815) 725-2121
Fax: (815) 741-6303
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 16005193 Illinois

Profile Details

NPI number 1356381867
LBN Legal business name Klemm, Lori
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Oct 8th, 2015 - about 9 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 1356381867 NPPES
Illinois MEDICAID 16005193

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