Susan Klock is a Clinical in Chicago, Illinois. Susan Klock practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Klock is 1396752903. The last update date is 2017-08-03.
Susan Klock's current location address is 680 N Lake Shore Dr, Chicago, Illinois. You can contact this provider via phone number 3126959797. The mailing address for Susan Klock is 680 N Lake Shore Dr, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Klock |
|---|---|
| Address | 680 N Lake Shore Dr, Chicago, Illinois |
| Phone Number | 3126959797 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1396752903 |
|---|---|
| Provider Enumeration Date | 2006-08-03 |
| Last Updated Date | 2017-08-03 |
Provider Mailing Address Detail
| Address | 680 N Lake Shore Dr |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606114546 |
| Phone Number | 3126959797 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 071-004914 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identification code assigned to Susan Klock by the Centers for Medicare & Medicaid Services?
The Susan Klock has been issued the NPI (National Provider Identifier) 1396752903, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Susan Klock?
The Susan Klock is situated at 680 N Lake Shore Dr, in the city of Chicago, state of IL, with the zip code 606114546.
What is the Susan Klock's specialty and taxonomy code?
The Susan Klock's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date was the 1396752903 assigned to Susan Klock?
The Susan Klock was issued its 1396752903 on 2006-08-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Susan Klock most recently updated or refreshed?
The details pertaining to the Susan Klock, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-08-03.
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