Healthcare Provider Details

I. General information

NPI: 1629845383
Provider Name (Legal Business Name): MEDSENSE RTM PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2023
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

426 N MAIN ST
WHEATON IL
60187-4164
US

IV. Provider business mailing address

PO BOX 96424
PHOENIX AZ
85072-6424
US

V. Phone/Fax

Practice location:
  • Phone: 253-242-2705
  • Fax:
Mailing address:
  • Phone: 253-242-2705
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code405300000X
TaxonomyPrevention Professional
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2278H0200X
TaxonomyHome Health Certified Respiratory Therapist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2083C0008X
TaxonomyClinical Informatics Physician
License Number
License Number State

VIII. Authorized Official

Name: KRISTIN KLEINHANS
Title or Position: DIRECTOR
Credential:
Phone: 253-242-2705