SearchIllinois163WG0000X

Johanne Thruman

NPI 1215671490 · on the registry since 2022 · sole proprietor

Practice

Address
1891 Spring Brook Dr
Freeport, IL 61032
Phone
(815) 980-0795

Registry record

Primary taxonomy
163WG0000X
163WG0000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-04-25

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