Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 016005469 | IL |
N | 222Z00000X | Podiatrist | 016005469 | IL |
Y | 213ES0103X | Foot & Ankle Surgery | 016005469 | IL |
N | 213ES0131X | Foot Surgery | 016005469 | IL |
NPI | 1316196348 |
---|---|
Provider Name | Dr. Erin E Klein |
First Address | Mount Prospect, IL 60056-6023 |
Second Address | Bannockburn, IL 60015-1836 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2008 |
Last Update Date | 30/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
016005469 | (05) | IL |