MEDICARE: MS. CATHERINE M KLIMA 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
1	1041C0700X	Clinical Social Worker	149009990	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	01635925	OTHER	IL	BCBS

General Provider Information

NPI Number	:	1073564332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CATHERINE M KLIMA LCSW

Provider Business Mailing Address
First Line	:	171 SANTA FE LN
Second Line	:
City	:	WILLOW SPRINGS
State	:	IL
Zip	:	60480-1624
Country	:	US
Telephone Number	:	630-601-8660
Fax Number	:	248-699-7851

Provider Business Practice Location Address
First Line	:	171 SANTA FE LN
Second Line	:
City	:	WILLOW SPRINGS
State	:	IL
Zip	:	60480-1624
Country	:	US
Telephone Number	:	708-425-8900
Fax Number	:	708-425-9612

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	12/04/2023

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