Individual
BRUCE KLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6425 CERMAK RD STE 101-102, BERWYN, IL 60402-2338
(708) 484-0044
Mailing address
2368 PAYSPHERE CIR, CHICAGO, IL 60674-2368
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-082267
IL
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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