Organization
THEUS MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY THEUS NURSE PRACTITIONER (OWNER)
(630) 631-6160
Entity
Organization
Contact information
Practice address
2736 VILLAGE GREEN DR APT A1, AURORA, IL 60504-5205
(630) 631-6160
Mailing address
2736 VILLAGE GREEN DR APT A1, AURORA, IL 60504-5205
(630) 631-6160
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
04/26/2023
Last updated
10/10/2024
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