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NPI Code Detail

MEDICARE: MR. EDWARD NEIL KLAMA LCSW

MEDICARE:  MR. EDWARD NEIL KLAMA  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerIL

General Provider Information

NPI Number : 1013960020
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. EDWARD NEIL KLAMA LCSW
Provider Business Mailing Address
First Line : 5715 LOMOND AVE
Second Line :
City : DOWNERS GROVE
State : IL
Zip : 60516-1053
Country : US
Telephone Number : 630-963-5749
Fax Number :
Provider Business Practice Location Address
First Line : 5715 LOMOND AVE
Second Line :
City : DOWNERS GROVE
State : IL
Zip : 60516-1053
Country : US
Telephone Number : 630-963-5749
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2006
Last Update Date : 07/08/2007

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Directions to “ MR. EDWARD NEIL KLAMA LCSW” Practice Location

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