Individual
DR. THOMAS R. KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
711 W NORTH AVE, 209, CHICAGO, IL 60610-1174
(312) 280-0996
(312) 280-8789
Mailing address
711 W NORTH AVE, 209, CHICAGO, IL 60610-1174
(312) 280-0996
(312) 280-8789
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
036059654
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036059654
—
IL
Enumeration date
08/31/2006
Last updated
03/19/2021
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