Provider Demographics
NPI:1376671198
Name:KLASINSKI, RHONDA LORENE
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:LORENE
Last Name:KLASINSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:642 HACKBERRY RD
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:IL
Mailing Address - Zip Code:62629-1120
Mailing Address - Country:US
Mailing Address - Phone:217-741-2375
Mailing Address - Fax:217-483-7808
Practice Address - Street 1:642 HACKBERRY RD
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:IL
Practice Address - Zip Code:62629-1120
Practice Address - Country:US
Practice Address - Phone:217-741-2375
Practice Address - Fax:217-483-7808
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist