Individual
VANESSA KLUGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 ERIE CT, OAK PARK, IL 60302-2566
(630) 789-2550
Mailing address
777 OAKMONT LN, SUITE 1600, WESTMONT, IL 60559-5511
(630) 789-2550
(630) 789-2571
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
036-084305
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01633083
BCBS IL
IL
05
—
036084305
—
IL
Enumeration date
10/27/2005
Last updated
12/02/2011
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