MEDICARE: ELIZABETH MARY KLEIN M.D.

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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	36062002	IL
2	207RP1001X	Pulmonary Disease Physician	36062002	IL
3	207RP1001X	Pulmonary Disease Physician	036-062002	IL
4	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	14008	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396716940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH MARY KLEIN M.D.

Provider Business Mailing Address
First Line	:	29373 NETWORK PL
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60673-1293
Country	:	US
Telephone Number	:	847-390-5900
Fax Number	:

Provider Business Practice Location Address
First Line	:	9000 WAUKEGAN RD STE 220
Second Line	:
City	:	MORTON GROVE
State	:	IL
Zip	:	60053-2130
Country	:	US
Telephone Number	:	847-759-4770
Fax Number	:	847-759-8824

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

Provider Enumeration Date	:	01/31/2006
Last Update Date	:	12/30/2025

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