Provider Demographics
NPI:1841360724
Name:KLAYMAN, LEONARD (DDS)
Entity type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:
Last Name:KLAYMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1535 LAKE COOK RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-1447
Mailing Address - Country:US
Mailing Address - Phone:847-291-8100
Mailing Address - Fax:847-291-8182
Practice Address - Street 1:1535 LAKE COOK RD
Practice Address - Street 2:SUITE 107
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-1453
Practice Address - Country:US
Practice Address - Phone:847-291-8100
Practice Address - Fax:847-291-8182
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190148921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice