Healthcare Provider Details

I. General information

NPI: 1902195829
Provider Name (Legal Business Name): LINDSEY RENEE KLINGBEIL M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2011
Last Update Date: 04/02/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W SUPERIOR ST STE 300
CHICAGO IL
60654-5563
US

IV. Provider business mailing address

200 W SUPERIOR ST STE 300
CHICAGO IL
60654-5563
US

V. Phone/Fax

Practice location:
  • Phone: 773-327-6800
  • Fax: 773-327-6877
Mailing address:
  • Phone: 773-327-6800
  • Fax: 773-327-6877

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number036.146669
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: