Provider Demographics
NPI:1508633785
Name:KLEEMAN, MARCI (HHP)
Entity Type:Individual
Prefix:
First Name:MARCI
Middle Name:
Last Name:KLEEMAN
Suffix:
Gender:F
Credentials:HHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5444 N WINTHROP AVE # 3N
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-1785
Mailing Address - Country:US
Mailing Address - Phone:224-587-0055
Mailing Address - Fax:
Practice Address - Street 1:5444 N WINTHROP AVE # 3N
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-1785
Practice Address - Country:US
Practice Address - Phone:224-587-0055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-07
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach