Klugman, Vanessa

Klugman, Vanessa is an individual health care provider with primary practice located at 1 Erie Ct , Oak Park IL 60302-2566. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Klugman, Vanessa can be contacted via phone (630) 789-2550.

Contact Information

Primary practice address
1 Erie Ct Oak Park IL 60302-2566
Phone: (630) 789-2550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 036-084305 Illinois

Profile Details

NPI number 1639169972
LBN Legal business name Klugman, Vanessa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Dec 2nd, 2011 - about 15 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 1639169972 NPPES
Illinois MEDICAID 036084305
Illinois Other 01633083

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