Search › Illinois › 390200000X
Keely Theobald, B.S
NPI 1326663683 · on the registry since 2020 · sole proprietor
Practice
- Address
- 2086 7th Street
Charleston, IL 61920 - Phone
- (217) 581-2712
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-06-12
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