Provider Demographics
NPI:1831313691
Name:KLINE, JUSTIN PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:PAUL
Last Name:KLINE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:5841 S MARYLAND AVE
Mailing Address - Street 2:MC 2115
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60637-1447
Mailing Address - Country:US
Mailing Address - Phone:773-702-5550
Mailing Address - Fax:773-702-3163
Practice Address - Street 1:5841 S MARYLAND AVE
Practice Address - Street 2:MC 2115
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60637-1447
Practice Address - Country:US
Practice Address - Phone:773-702-5550
Practice Address - Fax:773-702-3163
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
IL207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology