Theus Medical Services Llc | |
2736 Village Green Dr Apt A1 Aurora IL 60504-5205 | |
(630) 631-6160 | |
Not Available |
Full Name | Theus Medical Services Llc |
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Speciality | Clinic/Center |
Location | 2736 Village Green Dr Apt A1, Aurora, Illinois |
Authorized Official Name and Position | Tiffany Theus (OWNER) |
Authorized Official Contact | 6306316160 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Theus Medical Services Llc 2736 Village Green Dr Apt A1 Aurora IL 60504-5205 Ph: (630) 631-6160 | Theus Medical Services Llc 2736 Village Green Dr Apt A1 Aurora IL 60504-5205 Ph: (630) 631-6160 |
NPI Number | 1952099145 |
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Provider Enumeration Date | 04/26/2023 |
Last Update Date | 10/10/2024 |
Medicare PECOS PAC ID | 5294178513 |
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Medicare Enrollment ID | O20240202003431 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952099145 | NPI | - | NPPES |
Provider Name | Tiffany Quiana Theus |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366197766 PECOS PAC ID: 6608251145 Enrollment ID: I20220919002978 |
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