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Individual

BENJAMIN KLIMALA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
19000 HALSTED ST, HOMEWOOD, IL 60430-4204
(708) 957-9200
Mailing address
18132 RIDGELAND AVE, LANSING, IL 60438-1550
(708) 259-5671

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160007811
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04211991
SOUTH SUBURBAN NURSING AND REHAB
IL
Enumeration date
11/25/2019
Last updated
05/11/2026
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