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Individual
DR. WILLIAM J THEISEN
Active
Individual
DR. WILLIAM J THEISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.011341
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038011341
IL LICENSE
IL
Enumeration date
04/07/2009
Last updated
10/29/2019
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