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NPI Code Detail

MEDICARE: DR. PANAYOTA P KLEINMAN MD

MEDICARE: DR. PANAYOTA P KLEINMAN MD
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
1207R00000XInternal Medicine Physician036073448IL

Other Identifiers

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

General Provider Information

NPI Number : 1962407916
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PANAYOTA P KLEINMAN MD
Provider Business Mailing Address
First Line : 800 W CENTRAL RD
Second Line : NORTHWEST COMMUNITY HOSPITAL MEDICAL STAFF OFFICE
City : ARLINGTON HEIGHTS
State : IL
Zip : 60005-1529
Country : US
Telephone Number : 847-618-5685
Fax Number : 847-618-5669
Provider Business Practice Location Address
First Line : 800 W CENTRAL RD
Second Line : NORTHWEST COMMUNITY HOSPITAL MEDICAL STAFF OFFICE
City : ARLINGTON HEIGHTS
State : IL
Zip : 60005-2349
Country : US
Telephone Number : 847-618-5685
Fax Number : 847-618-4669
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 01/04/2016

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