Individual
MR. JACOB ALLEN KLAUSTERMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
820 E TERRA COTTA AVE, CRYSTAL LAKE, IL 60014-3649
(815) 455-4434
(815) 455-4591
Mailing address
820 E TERRA COTTA AVE STE 125, CRYSTAL LAKE, IL 60014-3650
(815) 455-4434
(815) 455-7143
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
085002984
IL
Other
Enumeration date
06/09/2008
Last updated
04/26/2018
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