Provider Demographics
NPI:1508121344
Name:KLINSKY, CLAIRE M (OD)
Entity Type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:M
Last Name:KLINSKY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:201 W SAINT LOUIS ST
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:IL
Mailing Address - Zip Code:62254-1515
Mailing Address - Country:US
Mailing Address - Phone:618-537-6356
Mailing Address - Fax:618-537-6358
Practice Address - Street 1:201 W SAINT LOUIS ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:IL
Practice Address - Zip Code:62254-1515
Practice Address - Country:US
Practice Address - Phone:618-537-6356
Practice Address - Fax:618-537-6358
Is Sole Proprietor?:No
Enumeration Date:2012-07-09
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046.010558152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist