person
Ursula Louise Thatch, MD
Gynecology Physician in Maryville, Illinois
NPI 1659423085

Ursula Louise Thatch is a Gynecology Physician based in Maryville, IL and is specialized in Gynecology. Ursula Louise Thatch practices in Maryville, IL and has the professional credentials of MD. The NPI Number for Ursula Louise Thatch is 1659423085 and holds a License No. 036-085831 (Illinois).

The current practice location address for Ursula Louise Thatch is 6810 State Route 162, Maryville, IL and can be reached out via phone at 618-288-0060 and via fax at 618-288-0063. You can also correspond with Ursula Louise Thatch through the mailing address at 6810 STATE ROUTE 162, MARYVILLE, IL - 62062-8501 (mailing address contact number: 618-288-0060).

Location: 6810 State Route 162, Maryville, IL, 62062-8501
person
Provider Profile Details
NPI Number
1659423085
Provider Name
Ursula Louise Thatch
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
6810 State Route 162, Maryville, IL, 62062-8501
Phone Number
618-288-0060
Fax Number
618-288-0063
Provider Enumeration Date
01/17/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0360858311 05 IL
6010076 01 IL IL-BCBS
060-10076 01 IL IL BCBS
1619 01 MO MO-BCBS-FACET#
institution
Provider Business Practice Location Address Details
Address
6810 State Route 162
City
State
Zip
62062-8501
Phone Number
618-288-0060
Fax Number
618-288-0063
person
Provider Business Mailing Address Details
Address
6810 State Route 162
City
State
Zip
62062-8501
Phone Number
618-288-0060
Fax Number
618-288-0063
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
036-085831 (Illinois)
Definition
Definition to come...
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