IndividualActive
Jesse Klein, PH.D.
NPI 1689951519 · Clinical Child & Adolescent Psychologist · Chicago, IL
Provider details
- NPI number
- 1689951519
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 071.008124 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
639 W Diversey Pkwy Ste 207
Chicago, IL 60614-1535
Phone: (312) 543-7838
Approximate (ZIP-level) locationGet directions
Mailing address
639 W Diversey Pkwy Ste 207
Chicago, IL 60614-1535
Additional practice locations (1)
- 778 W Frontage Rd Ste 123Northfield, IL 60093-1209Phone: (312) 543-7838
Registry dates
- Enumerated
- 2011-11-06
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.