Provider Demographics
NPI:1972946341
Name:KLEIN, DALE A (DVM)
Entity Type:Individual
Prefix:DR
First Name:DALE
Middle Name:A
Last Name:KLEIN
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8537 S 83RD AVE
Mailing Address - Street 2:
Mailing Address - City:HICKORY HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60457-1104
Mailing Address - Country:US
Mailing Address - Phone:708-738-4357
Mailing Address - Fax:
Practice Address - Street 1:8537 S 83RD AVE
Practice Address - Street 2:
Practice Address - City:HICKORY HILLS
Practice Address - State:IL
Practice Address - Zip Code:60457-1104
Practice Address - Country:US
Practice Address - Phone:708-738-4357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-16
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL090.006768174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian