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Search › Illinois › 363L00000X

Mallory Klocke, CNM

NPI 1043792641 · on the registry since 2018

Practice

Address
17 N State St Ste 500
Chicago, IL 60602
Phone
(712) 210-2717
Organisation at this address
A Safe Haven, L.L.C.
Epilepsy Foundation Of Greater Chicago
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
363L00000X
363L00000X
Also registered as
367A00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-02-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois