SearchIllinois2255A2300X

Thane Halstead, ATC

NPI 1629047568 · on the registry since 2006

Practice

Address
1201 W New York St
Aurora, IL 60506
Phone
(630) 301-6629
Clinicians at this address
5

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-13

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