Individual
MR. GEORGE FREDRICK THIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
156 S BLOOMINGDALE RD, BLOOMINGDALE, IL 60108-1472
(630) 980-9198
(630) 980-0908
Mailing address
1413 GROTON LN, WHEATON, IL 60187-7747
(630) 510-9023
(630) 980-0908
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
IL
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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