Thillen, Misty Lynn

Thillen, Misty Lynn is an sole proprietor health care provider with primary practice located at 651 W Terra Cotta Ave Ste 121, Crystal Lake IL 60014-3404. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Thillen, Misty Lynn can be contacted via phone (815) 455-0145.

Contact Information

Primary practice address
651 W Terra Cotta Ave Ste 121 Crystal Lake IL 60014-3404
Fax: (815) 444-7002
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Illinois

Profile Details

NPI number 1689751489
LBN Legal business name Thillen, Misty Lynn
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Jul 8th, 2007 - about 17 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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