Mr Tegan Augustine Thimesch I, DPM | |
4040 W Peterson Ave, Chicago, IL 60646-6019 | |
(773) 267-0554 | |
(773) 267-6258 |
Full Name | Mr Tegan Augustine Thimesch I |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 38 Years |
Location | 4040 W Peterson Ave, Chicago, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376511287 | NPI | - | NPPES |
60001565 | Other | IL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0131X | Podiatrist - Foot Surgery | 016003998 (Illinois) | Primary |
Provider Name | Dr Tegan A Timesh Footcare Clinic P.c. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1023268901 PECOS PAC ID: 8224188735 Enrollment ID: O20090603000682 |
Provider Name | Fox Lake Foot Care Ltd |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1699053967 PECOS PAC ID: 9739358656 Enrollment ID: O20110811000072 |
Mailing Address | Practice Location Address |
---|---|
Mr Tegan Augustine Thimesch I, DPM 4040 W Peterson Ave, Chicago, IL 60646-6019 Ph: (773) 267-0554 | Mr Tegan Augustine Thimesch I, DPM 4040 W Peterson Ave, Chicago, IL 60646-6019 Ph: (773) 267-0554 |
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