Individual
STEPHANIE THALHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4400 W 95TH ST, SUITE 413, OAK LAWN, IL 60453-2654
(708) 346-4055
(708) 499-0948
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.004725
IL
363AS0400X
Surgical Physician Assistant
085004725
IL
Other
Enumeration date
09/10/2013
Last updated
12/26/2024
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