Individual
MR. TEGAN AUGUSTINE THIMESCH I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4040 W PETERSON AVE, CHICAGO, IL 60646-6019
(773) 267-0554
(773) 267-6258
Mailing address
4040 W PETERSON AVE, CHICAGO, IL 60646-6019
(773) 267-0554
(773) 267-6258
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
016003998
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60001565
BCBS
IL
Enumeration date
03/08/2006
Last updated
02/26/2013
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