Individual
DR. KAIRSTEN THIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN-CFM, CEFM
Contact information
Practice address
1200 N LASALLE ST, CHICAGO, IL 60610
(312) 592-2214
(312) 266-8797
Mailing address
1200 N LASALLE ST, CHICAGO, IL 60610
(312) 592-2214
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
041.402404
IL
363L00000X
Nurse Practitioner
Primary
209.017971
IL
367A00000X
Advanced Practice Midwife
209.017971
IL
Other
Enumeration date
09/02/2018
Last updated
01/14/2025
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