Thelen, Edward

Thelen, Edward is an individual health care provider with primary practice located at 7437 170Th Pl , Tinley Park IL 60477-4744. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Thelen, Edward can be contacted via phone (708) 373-2468.

Contact Information

Primary practice address
7437 170Th Pl Tinley Park IL 60477-4744
Phone: (708) 373-2468
Fax: (708) 620-5358
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 056004948 Illinois

Profile Details

NPI number 1841380813
LBN Legal business name Thelen, Edward
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Jul 30th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841380813 NPPES
Illinois MEDICAID 3640571036046701

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