Provider Demographics
NPI:1366637480
Name:KLIMUK, ALA (MD)
Entity type:Individual
Prefix:
First Name:ALA
Middle Name:
Last Name:KLIMUK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1375 E SCHAUMBURG RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60194-5166
Mailing Address - Country:US
Mailing Address - Phone:847-891-6850
Mailing Address - Fax:630-339-5803
Practice Address - Street 1:1375 E SCHAUMBURG RD
Practice Address - Street 2:SUITE 100
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60194-5166
Practice Address - Country:US
Practice Address - Phone:847-891-6850
Practice Address - Fax:630-339-5803
Is Sole Proprietor?:No
Enumeration Date:2007-09-11
Last Update Date:2014-03-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036-119159207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036-119159OtherSTATE LICENCE