Individual
DR. JOHN MICHAEL THOMETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
750 E TERRA COTTA AVE STE C, CRYSTAL LAKE, IL 60014-3621
(414) 828-0182
Mailing address
933 W VAN BUREN ST APT 609, CHICAGO, IL 60607-3594
(414) 828-0182
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016005882
IL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/29/2017
Last updated
07/16/2020
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