| Theus Medical Services Llc | |
|
1862 Westridge Pl Aurora IL 60504-4364 | |
| (630) 631-6160 | |
| Not Available |
| Full Name | Theus Medical Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1862 Westridge Pl, 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 |
|---|---|
| Theus Medical Services Llc 1862 Westridge Pl Aurora IL 60504-4364 Ph: (630) 631-6160 | Theus Medical Services Llc 1862 Westridge Pl Aurora IL 60504-4364 Ph: (630) 631-6160 |
| NPI Number | 1952099145 |
|---|---|
| Provider Enumeration Date | 04/26/2023 |
| Last Update Date | 04/26/2023 |
| Medicare PECOS PAC ID | 5294178513 |
|---|---|
| Medicare Enrollment ID | O20240202003431 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952099145 | NPI | - | NPPES |
| Provider Name | Tiffany Quiana Theus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366197766 PECOS PAC ID: 6608251145 Enrollment ID: I20220919002978 |
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