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Theresia Fonge
NPI 1003205279 · on the registry since 2015 · sole proprietor
Practice
- Address
- 4790 Hickory Creek Dr
Apt 8
University Park, IL 60484 - Phone
- (630) 936-9862
Registry record
- Primary taxonomy
- Non-emergency Medical Transport (VAN)
343900000X
- Sex
- Female
- Record last updated
- 2015-01-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois