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Individual

ANNMARIE KLEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2381
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2381

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
070017078
IL
273Y00000X
Rehabilitation Hospital Unit
070017078
IL
282N00000X
General Acute Care Hospital
Primary
070017078
IL

Other

Enumeration date
03/23/2017
Last updated
03/23/2017
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