Individual
DAVID GERARD KLEINMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT ATC L
Contact information
Practice address
800 DES PLAINES AVE, FOREST PARK, IL 60130-2035
(708) 366-2442
(708) 366-0179
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070004081
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IL6237006
MEDICARE
IL
01
—
IL6238006
MEDICARE
IL
01
—
IL6697017
MEDICARE
IL
Enumeration date
05/20/2006
Last updated
09/22/2016
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