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Individual

BRIAN KLOSTERMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12860 TROXLER AVE, HIGHLAND, IL 62249-2898
(618) 651-2810
(618) 651-0077
Mailing address
5100 RELIABLE PKWY, CHICAGO, IL 60686-0001
(309) 672-4809

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036129725
IL
207QS0010X
Sports Medicine (Family Medicine) Physician
036129725
IL

Other

Enumeration date
06/17/2009
Last updated
12/22/2021
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