Individual
DR. DAVID EUGENE KLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4600 N RAVENSWOOD AVE, CHICAGO, IL 60640-4510
(773) 561-7500
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
036.159465
IL
2084N0400X
Neurology Physician
Primary
036.159465
IL
390200000X
Student in an Organized Health Care Education/Training Program
5101024326
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036.159465
ILLINOIS MEDICAL LISCENCE
IL
01
—
336.118228
CONTROLLED SUBSTANCE LICENSE
IL
Enumeration date
07/02/2018
Last updated
11/08/2024
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