# FOX LAKE FOOT CARE LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699053967
- **Authorized official:** DR. TEGAN A THIMESCH DPM (DOCTOR)
- **Authorized official phone:** (847) 587-3221

## Contact information

- **Practice address:** 214 WASHINGTON ST, SUITE \#3, INGLESIDE, IL 60041-9208
- **Practice address phone:** (847) 587-3221
- **Practice address fax:** (847) 587-2148
- **Mailing address:** 214 WASHINGTON ST, SUITE \#3, INGLESIDE, IL 60041-9208
- **Mailing address phone:** (847) 587-3221
- **Mailing address fax:** (847) 587-2148

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 016003998 | IL | Yes |

## Other

- **Enumeration date:** 08/03/2011
- **Last updated:** 08/03/2011