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Individual
DR. DAVID KLASS
Active
Individual
DR. DAVID KLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
036041187
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036041187
MEDICAL LICENSE NUMBER
IL
Enumeration date
10/20/2011
Last updated
10/20/2011
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