Klein, Jesse

Klein, Jesse is an sole proprietor health care provider with primary practice located at 639 W Diversey Pkwy Ste 207 , Chicago IL 60614-1535. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Klein, Jesse can be contacted via phone (312) 543-7838.

Contact Information

Primary practice address
639 W Diversey Pkwy Ste 207 Chicago IL 60614-1535
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 071.008124 Illinois

Profile Details

NPI number 1689951519
LBN Legal business name Klein, Jesse
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2011
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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