Individual
ALEXANDRA ELISABETH THIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MMSC
Contact information
Practice address
1420 BUSSE RD, ELK GROVE VILLAGE, IL 60007-5324
(847) 653-0142
Mailing address
7978 GARFIELD AVE APT 205, BURR RIDGE, IL 60527-7924
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/28/2019
Last updated
02/09/2024
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