Individual
MR. TEGAN AUGUSTINE THIMESCH I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
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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