Mr. Tegan Augustine Thimesch I
Foot Surgery
4040 W Peterson Ave
Chicago
, Illinois 60646-6019
Mr. Tegan Augustine Thimesch I
Foot Surgery
4040 W Peterson Ave
Chicago
, Illinois 60646-6019
(773) 267-6258
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About
Features
Specialties
- Foot Surgery
Languages spoken
- English
Location
First Address
- Mr. Tegan Augustine Thimesch I
- 4040 W Peterson Ave
- Chicago, IL
- Zip : 60646-6019
- Fax : (773) 267-6258
- Phone : (773) 267-0554
Second Address
- Mr. Tegan Augustine Thimesch I
- 4040 W Peterson Ave
- Chicago, IL
- Zip : 60646-6019
- Fax : (773) 267-6258
- Phone : (773) 267-0554
Reviews
FAQs
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What type of doctor is Mr. Tegan Augustine Thimesch I
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Is Mr. Tegan Augustine Thimesch I a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0131X | Foot Surgery | 016003998 | IL |
National Provider Identifier
| NPI | 1376511287 |
|---|---|
| Provider Name | Mr. Tegan Augustine Thimesch I |
| First Address | Chicago, IL 60646-6019 |
| Second Address | Chicago, IL 60646-6019 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/03/2006 |
| Last Update Date | 26/02/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 60001565 | BCBS (01) | IL |
| T38733 | (02) | IL |
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.