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Search › Illinois › 1223G0001X

Russell Klein, DMD

NPI 1639397128 · on the registry since 2007

Practice

Address
374 E Grand Ave
Student Health Center Sivc
Carbondale, IL 62901
Phone
(618) 536-2421
Fax
(618) 453-3477
Organisation at this address
Marion Eye Centers Ltd.
Southern Illinois University
Southern Illinois University Student
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Also registered as
1223G0001X
Licence states on file
MO, IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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