Jacob Allen Klaustermeier, PAC Valid NPI

Individual provider · Dermatology Physician · Crystal Lake, IL

NPI

1952560443

Type

Individual (Type 1)

Primary specialty

Dermatology Physician (Dermatology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207N00000X

License number

085002984 (IL)

Sex

Male

Sole proprietor

No

Enumerated

2008-06-09

Last updated

2018-04-26