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NPI Code Detail

MEDICARE: BENJAMIN KLIMALA

MEDICARE: BENJAMIN KLIMALA
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
1225200000XPhysical Therapy Assistant160007811IL

General Provider Information

NPI Number : 1275179335
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN KLIMALA
Provider Business Mailing Address
First Line : 18132 RIDGELAND AVE
Second Line :
City : LANSING
State : IL
Zip : 60438-1550
Country : US
Telephone Number : 708-259-5671
Fax Number :
Provider Business Practice Location Address
First Line : 19000 HALSTED ST
Second Line :
City : HOMEWOOD
State : IL
Zip : 60430-4204
Country : US
Telephone Number : 708-957-9200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2019
Last Update Date : 05/11/2026

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Directions to “ BENJAMIN KLIMALA ” Practice Location

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