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Susan Theis
NPI 1508266735 · on the registry since 2014 · sole proprietor
Practice
- Address
- 4958 N Milwaukee Ave
Chicago, IL 60630 - Phone
- (773) 205-8500
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-08-25
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