SearchIllinois213ES0103X

Mia Thouvenot, DPM

NPI 1396173753 · on the registry since 2013

Practice

Address
12866 Troxler Ave
Highland, IL 62249
Phone
(618) 236-7444
Fax
(618) 726-7444
Organisation at this address
Lifenet, Inc.
Infinity-Meds Llp
K And L Medical, Llc
Best Foot Forward Corp
Cepamerica Illinois Llp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Additional practice sites

  • 209 Crossroads Pl, Mount Vernon, IL
  • 209 Crossroads Pl, Mount Vernon, IL
  • 5139 Mattis Rd Ste 102, Saint Louis, MO

Registry record

Primary taxonomy
213ES0103X
213ES0103X
Also registered as
213E00000X
213E00000X
213ES0103X
Licence states on file
MO, IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-07-02

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