Individual
DR. JESSE KLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
639 W DIVERSEY PKWY STE 207, CHICAGO, IL 60614-1535
(312) 543-7838
Mailing address
639 W DIVERSEY PKWY STE 207, CHICAGO, IL 60614-1535
(312) 543-7838
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
071.008124
IL
Other
Enumeration date
11/06/2011
Last updated
07/21/2022
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