Search › Illinois › 363L00000X
Jucy Tiesenga, NP
NPI 1124395199 · on the registry since 2011 · sole proprietor
Practice
- Address
- 25 N Winfield Rd Ste 420
Winfield, IL 60190 - Phone
- (630) 682-8700
- Fax
- (630) 352-5582
- Organisation at this address
- Walgreen Co
Masue Li Md Sc
Cadence Health
Comfortlink, Inc
Neuromed Clinic LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 591
Additional practice sites
- 9669 Kenton Ave, Skokie, IL
- 1880 W Winchester Rd Ste 201, Libertyville, IL
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LA2200X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-12-13
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