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Individual
AMY KLEINKLAUS-LEE
Active
Individual
AMY KLEINKLAUS-LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036122953
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040040160CT01
BCCT
—
01
—
061483728
HMC
—
01
—
1225132319
NPI
—
01
—
160002038
MCR
—
01
—
1710959721
NPI GROUP NUMBER
—
01
—
2861803
ATNA
—
01
—
2V1497
HNET
—
01
—
401600
CTCR
—
01
—
531880002
PTAN
IL
01
—
P2647139
OHP
—
Enumeration date
09/11/2006
Last updated
01/31/2013
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