Provider Demographics
NPI:1396916201
Name:KLEIN, SETH J (MD)
Entity type:Individual
Prefix:DR
First Name:SETH
Middle Name:J
Last Name:KLEIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:676 N SAINT CLAIR ST
Mailing Address - Street 2:SUITE 800
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2927
Mailing Address - Country:US
Mailing Address - Phone:312-695-5753
Mailing Address - Fax:312-695-5645
Practice Address - Street 1:251 E HURON ST
Practice Address - Street 2:4TH FLOOR
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2908
Practice Address - Country:US
Practice Address - Phone:312-695-5753
Practice Address - Fax:312-695-5645
Is Sole Proprietor?:No
Enumeration Date:2008-03-19
Last Update Date:2015-06-25
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Provider Licenses
StateLicense IDTaxonomies
MO20110072042085R0204X
IL0361381732085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology