Individual
MR. THOMAS KLUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4758 W MADISON, CHICAGO, IL 60644-3615
(773) 379-5130
(773) 379-1334
Mailing address
4758 W MADISON, CHICAGO, IL 60644-3615
(773) 379-5130
(773) 379-1334
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046 006628
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046006628
—
IL
Enumeration date
01/25/2006
Last updated
09/25/2012
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