person
Mr. Tegan Augustine Thimesch I, DPM
Foot Surgery Podiatrist in Chicago, Illinois
NPI 1376511287

Tegan Augustine Thimesch I is a Foot Surgery Podiatrist based in Chicago, IL and is specialized in Foot Surgery. Tegan Augustine Thimesch I practices in Chicago, IL and has the professional credentials of DPM. The NPI Number for Tegan Augustine Thimesch I is 1376511287 and holds a License No. 016003998 (Illinois).

The current practice location address for Tegan Augustine Thimesch I is 4040 W Peterson Ave, Chicago, IL and can be reached out via phone at 773-267-0554 and via fax at 773-267-6258. You can also correspond with Tegan Augustine Thimesch I through the mailing address at 4040 W PETERSON AVE, CHICAGO, IL - 60646-6019 (mailing address contact number: 773-267-0554).

Location: 4040 W Peterson Ave, Chicago, IL, 60646-6019
person
Provider Profile Details
NPI Number
1376511287
Provider Name
Tegan Augustine Thimesch I
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
4040 W Peterson Ave, Chicago, IL, 60646-6019
Phone Number
773-267-0554
Fax Number
773-267-6258
Provider Enumeration Date
03/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
60001565 01 IL BCBS
institution
Provider Business Practice Location Address Details
Address
4040 W Peterson Ave
City
State
Zip
60646-6019
Phone Number
773-267-0554
Fax Number
773-267-6258
person
Provider Business Mailing Address Details
Address
4040 W Peterson Ave
City
State
Zip
60646-6019
Phone Number
773-267-0554
Fax Number
773-267-6258
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
016003998 (Illinois)
Definition
Definition to come...
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