Organization
FOX LAKE FOOT CARE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TEGAN A THIMESCH DPM (DOCTOR)
(847) 587-3221
Entity
Organization
Contact information
Practice address
214 WASHINGTON ST, SUITE #3, INGLESIDE, IL 60041-9208
(847) 587-3221
(847) 587-2148
Mailing address
214 WASHINGTON ST, SUITE #3, INGLESIDE, IL 60041-9208
(847) 587-3221
(847) 587-2148
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016003998
IL
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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