Individual
DR. DAVID KLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2511 CAMBERLEY, WESTCHESTER, IL 60154
(708) 769-9943
Mailing address
2511 CAMBERLEY, WESTCHESTER, IL 60154
(708) 769-9943
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
036041187
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036041187
MEDICAL LICENSE NUMBER
IL
Enumeration date
10/20/2011
Last updated
10/20/2011
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