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General NPI Number Information
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NPI Number | 1326094194
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Entity Type | Individual
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Provider Name | TOM KLEIN MD
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Gender | Male
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 1105 MILWAUKEE AVE
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City | RIVERWOODS
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State | IL
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Zip | 60015-3512
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Country | US
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Telephone | 847-325-5110
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Fax | 847-325-5114
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Provider Business Mailing Address
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Address Line | 1105 MILWAUKEE AVE
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City | RIVERWOODS
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State | IL
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Zip | 60015-3512
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Country | US
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Telephone | 847-325-5110
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Fax | 847-325-5114
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4193020
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036065537
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License Number State | IL
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