Dr. Jonathan D Klein
Pediatrician Adolescent Medicine
840 South Wood St Mailcode 856
Chicago
, Illinois 60612
Dr. Jonathan D Klein
Pediatrician Adolescent Medicine
840 South Wood St Mailcode 856
Chicago
, Illinois 60612
(312) 996-7179
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About
Features
Specialties
- Pediatrician
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Dr. Jonathan D Klein
- 840 South Wood St Mailcode 856
- Chicago, IL
- Zip : 60612
- Phone : (312) 996-7179
Second Address
- Dr. Jonathan D Klein
- 840 South Wood St Mailcode 856
- Chicago, IL
- Zip : 60612
- Phone : (312) 996-7179
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 036143027 | IL |
| N | 208000000X | Pediatrician | 189757 | NY |
| N | 2080A0000X | Adolescent Medicine | 036143027 | IL |
| N | 2080A0000X | Adolescent Medicine | 189757 | NY |
National Provider Identifier
| NPI | 1225066764 |
|---|---|
| Provider Name | Dr. Jonathan D Klein |
| First Address | Chicago, IL 60612 |
| Second Address | Chicago, IL 60612 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2006 |
| Last Update Date | 08/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01404911 | (05) | NY |
| 036143027 | (05) | IL |
| E14806 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.