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NPI Code Detail

MEDICARE: CYNTHIA KLARMAN ATC

MEDICARE:   CYNTHIA  KLARMAN  ATC
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
12255A2300XAthletic Trainer096002634IL

General Provider Information

NPI Number : 1932597754
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA KLARMAN ATC
Provider Business Mailing Address
First Line : 2149 W LELAND AVE APT B
Second Line :
City : CHICAGO
State : IL
Zip : 60625-1527
Country : US
Telephone Number : 312-877-3442
Fax Number :
Provider Business Practice Location Address
First Line : 205 W WACKER DR STE 1020
Second Line :
City : CHICAGO
State : IL
Zip : 60606-1452
Country : US
Telephone Number : 312-640-0329
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/31/2014
Last Update Date : 12/31/2014

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Directions to “ CYNTHIA KLARMAN ATC” Practice Location

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