Active NPI
Gregg A Kling, D.O.
- Emergency Medicine Physician
- Dekalb, IL
National Provider Identifier
1396899431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Practice address
- One Kish Hospital Dr
Dekalb, IL 60115-4939 - Phone
- (815) 756-1521
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | IL | Primary |
Addresses
Primary practice location
One Kish Hospital Dr
Dekalb, IL 60115-4939
Mailing address
2807 Brittany CT
St Charles, IL 60175-5161
Phone (630) 377-8944
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 064886 | Other | IL | HEALTH ALLIANCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197504000000",
"number": "1396899431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2807 BRITTANY CT",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601755161",
"telephone_number": "630-377-8944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE KISH HOSPITAL DR",
"city": "DEKALB",
"state": "IL",
"postal_code": "601154939",
"telephone_number": "815-756-1521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLING",
"first_name": "GREGG",
"middle_name": "A",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2007-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "064886",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dekalb, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.