Thimesch, Tegan Augustine

Thimesch, Tegan Augustine is an sole proprietor health care provider with primary practice located at 4040 W Peterson Ave , Chicago IL 60646-6019. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Thimesch, Tegan Augustine can be contacted via phone (773) 267-0554.

Contact Information

Primary practice address
4040 W Peterson Ave Chicago IL 60646-6019
Phone: (773) 267-0554
Fax: (773) 267-6258
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 016003998 Illinois

Profile Details

NPI number 1376511287
LBN Legal business name Thimesch, Tegan Augustine
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2006
Last updated Feb 26th, 2013 - 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 1376511287 NPPES
Illinois Other 60001565 BCBS

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