| Klein & Cook Orthodontics Llc | |
|
4210 Lincolnshire Mt Vernon IL 62864 | |
| (618) 244-7747 | |
| (618) 244-7551 |
| Full Name | Klein & Cook Orthodontics Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4210 Lincolnshire, Mt Vernon, Illinois |
| Authorized Official Name and Position | Christopher Kennedy Klein (CO OWNER PRESIDENT) |
| Authorized Official Contact | 6182447747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Klein & Cook Orthodontics Llc 4210 Lincolnshire Mt Vernon IL 62864 Ph: (618) 244-7747 | Klein & Cook Orthodontics Llc 4210 Lincolnshire Mt Vernon IL 62864 Ph: (618) 244-7747 |
| NPI Number | 1508908393 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508908393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (Illinois) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (Illinois) | Primary |