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NPI Code Detail

MEDICARE: MR. JOHN T. KLASEN JOHN KLASEN

MEDICARE:  MR. JOHN T. KLASEN  JOHN KLASEN
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
1225100000XPhysical TherapistIL

General Provider Information

NPI Number : 1770649899
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN T. KLASEN JOHN KLASEN
Provider Business Mailing Address
First Line : 1412 N DUNTON AVE
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-4729
Country : US
Telephone Number : 847-259-5981
Fax Number :
Provider Business Practice Location Address
First Line : 1412 N DUNTON AVE
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-4729
Country : US
Telephone Number : 847-259-5981
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/01/2007
Last Update Date : 07/08/2007

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Directions to “ MR. JOHN T. KLASEN JOHN KLASEN” Practice Location

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