SearchIllinois225X00000X

Edward Thelen

NPI 1841380813 · on the registry since 2006

Practice

Address
7437 170th Pl
Tinley Park, IL 60477
Phone
(708) 373-2468
Fax
(708) 620-5358

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-07-30

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