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Individual

MRS. VANESSA LYN KLOS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-7633
(312) 569-8024
Mailing address
7841 HARRISON AVE, MUNSTER, IN 46321-1128
(219) 836-2663

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
23002238A
IN
231H00000X
Audiologist
Primary
IL

Other

Enumeration date
05/23/2006
Last updated
07/08/2007
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