Kluss, Thomas
Kluss, Thomas is an sole proprietor health care provider with primary practice located at 4758 W Madison , Chicago IL 60644-3615. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kluss, Thomas can be contacted via phone (773) 379-5130.Contact Information
Primary practice address
4758 W Madison
Chicago IL 60644-3615
Phone: (773) 379-5130
Fax: (773) 379-1334
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 046 006628 | Illinois |
Profile Details
NPI number | 1437129178 |
---|---|
LBN Legal business name | Kluss, Thomas |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 25th, 2006 |
Last updated | Sep 25th, 2012 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1437129178 | NPPES |
Illinois | MEDICAID | 046006628 |
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