Provider Demographics
NPI:1801682380
Name:KLEINGARTNER, LANDON
Entity type:Individual
Prefix:
First Name:LANDON
Middle Name:
Last Name:KLEINGARTNER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2697 S EMBERS LN
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-4672
Mailing Address - Country:US
Mailing Address - Phone:701-426-1047
Mailing Address - Fax:
Practice Address - Street 1:929 W WISE RD
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60193-3821
Practice Address - Country:US
Practice Address - Phone:701-426-1047
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-19
Last Update Date:2025-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program