Individual
JANICE RUTH R. KLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 W DEMPSTER ST, SUITE 120, PARK RIDGE, IL 60068-1109
(847) 635-9006
(847) 635-8360
Mailing address
520 E 22ND ST, LOMBARD, IL 60148-6110
(630) 874-2542
(630) 874-2642
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036-058059
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
76082
WI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036058059
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100325824
—
WI
Enumeration date
08/09/2005
Last updated
06/26/2025
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