Klein & Cook Orthodontics Llc | |
4210 Lincolnshire Mt Vernon IL 62864 | |
(618) 244-7747 | |
(618) 244-7551 |
Full Name | Klein & Cook Orthodontics Llc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 4210 Lincolnshire, Mt Vernon, Illinois |
Authorized Official Name and Position | Christopher Kennedy Klein (CO OWNER PRESIDENT) |
Authorized Official Contact | 6182447747 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Klein & Cook Orthodontics Llc 4210 Lincolnshire Mt Vernon IL 62864 Ph: (618) 244-7747 | Klein & Cook Orthodontics Llc 4210 Lincolnshire Mt Vernon IL 62864 Ph: (618) 244-7747 |
NPI Number | 1508908393 |
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Provider Enumeration Date | 02/12/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1508908393 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (Illinois) | Primary |
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (Illinois) | Secondary |