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KLEIN & SLOTTEN MEDICAL ASSOCIATES INC NPI 1659392751


NPI Information

NPI: 1659392751
Provider Name: KLEIN & SLOTTEN MEDICAL ASSOCIATES INC
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
711 W NORTH AVE
STE 209
CHICAGO, IL
ZIP 60610
Phone: (312) 280-0996
Get Directions

KLEIN & SLOTTEN MEDICAL ASSOCIATES INC is an adult medicine family medicine in Chicago, IL. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. KLEIN & SLOTTEN MEDICAL ASSOCIATES INC NPI is 1659392751. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

711 W NORTH AVE
STE 209
CHICAGO, IL
ZIP 60610-042
Phone: (312) 280-0996
Fax: (312) 280-8789

The provider's authorized official is Mary Ammons .
The authorized official title is Manager and has the following contact phone number (312) 280-0996.

The enumeration date for this NPI number is 7/22/2006 and was last updated on 7/29/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0505XFamily MedicineAdult Medicine036059654ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C45991MEDICARE UPINILLINOIS
2036064610MEDICAIDILLINOIS
3E30870MEDICARE UPINILLINOIS
4036075827MEDICAIDILLINOIS
5D14583MEDICARE UPINILLINOIS
6539790MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
7036059654MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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