Molly Tiesenga
Nurse Practitioner - Primary Care
2160 S 1st Ave
Maywood
, Illinois 60153-3328
Molly Tiesenga
Nurse Practitioner - Primary Care
2160 S 1st Ave
Maywood
, Illinois 60153-3328
(708) 216-9000
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Molly Tiesenga
- 2160 S 1st Ave
- Maywood, IL
- Zip : 60153-3328
- Phone : (708) 216-9000
Second Address
- Molly Tiesenga
- 2160 S 1st Ave
- Maywood, IL
- Zip : 60153-3328
- Phone : (708) 216-4225
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FAQs
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Is Molly Tiesenga board certified?
What type of doctor is Molly Tiesenga
In what state does Molly Tiesenga practice in?
Where is Molly Tiesenga ’s practice located?
What is Molly Tiesenga ’s gender?
Is Molly Tiesenga a sole practitioner?
Is Molly Tiesenga accepting new patients?
What languages does Molly Tiesenga speak?
Does Molly Tiesenga accept insurance?
Does Molly Tiesenga offers telemedicine?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | 209018752 | IL |
National Provider Identifier
| NPI | 1063977932 |
|---|---|
| Provider Name | Molly Tiesenga |
| First Address | Maywood, IL 60153-3328 |
| Second Address | Maywood, IL 60153-3328 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/02/2019 |
| Last Update Date | 28/02/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.