Provider Demographics
NPI:1639350275
Name:KLINE, AMBER N (DPT)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:N
Last Name:KLINE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:
Other - Last Name:MORRISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:337 W OGDEN AVE
Mailing Address - Street 2:
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-1419
Mailing Address - Country:US
Mailing Address - Phone:630-323-8646
Mailing Address - Fax:630-323-8656
Practice Address - Street 1:337 W OGDEN AVE
Practice Address - Street 2:
Practice Address - City:WESTMONT
Practice Address - State:IL
Practice Address - Zip Code:60559-1419
Practice Address - Country:US
Practice Address - Phone:630-323-8646
Practice Address - Fax:630-323-8656
Is Sole Proprietor?:No
Enumeration Date:2007-11-26
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05013640A225100000X
IL070016113225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL567700OtherMEDICARE GROUP NUMBER
IL568080OtherMEDICARE GROUP NUMBER
IL1619908OtherBCBS IL GROUP
IL568150OtherMEDICARE GROUP NUMBER
ILK47751Medicare PIN
IL1619908OtherBCBS IL GROUP
ILK47750Medicare PIN