Individual
MS. LISA ELLEN KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
404 MCHENRY RD, BUFFALO GROVE, IL 60089-6740
(847) 285-4200
Mailing address
4034 N NEWPORT LN, ARLINGTON HEIGHTS, IL 60004-7960
(847) 577-6738
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
096000950
IL
2255A2300X
Athletic Trainer
Primary
096-000950
IL
Other
Enumeration date
12/04/2005
Last updated
12/09/2024
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