Individual
ALEXIS THIESSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
9703 W 56TH CT, COUNTRYSIDE, IL 60525-7325
(708) 621-0579
Mailing address
9703 W 56TH CT, COUNTRYSIDE, IL 60525-7325
(708) 621-0579
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
041483040
IL
363LF0000X
Family Nurse Practitioner
Primary
209035025
IL
Other
Enumeration date
02/09/2026
Last updated
03/23/2026
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