Misty Lynn Thillen in Crystal Lake - General Practice
Misty Lynn Thillen - NPI 1689751489
Misty Lynn Thillen is a General Practice in Crystal Lake, Illinois. Misty Lynn Thillen practices all healthcare services and medical treatments related to General Practice. The NPI Number for Misty Lynn Thillen is 1689751489. The last update date is 2007-07-08.
Misty Lynn Thillen's current location address is 651 W Terra Cotta Ave, Crystal Lake, Illinois. You can contact this provider via phone number 8154550145 and fax number 8154447002. The mailing address for Misty Lynn Thillen is 651 W Terra Cotta Ave, Crystal Lake, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Misty Lynn Thillen |
|---|---|
| Address | 651 W Terra Cotta Ave, Crystal Lake, Illinois |
| Phone Number | 8154550145 |
| Fax Number | 8154447002 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1689751489 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 651 W Terra Cotta Ave |
|---|---|
| City | Crystal Lake |
| State | Illinois (IL) |
| Post Code | 600143404 |
| Phone Number | 8154550145 |
| Fax Number | 8154447002 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Post Comment/ Review Below
What is the unique identifier code issued to Misty Lynn Thillen by the Centers for Medicare & Medicaid Services?
The Misty Lynn Thillen has been assigned the NPI (National Provider Identifier) 1689751489. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Misty Lynn Thillen is physically located?
The Misty Lynn Thillen is situated at the following address: 651 W Terra Cotta Ave, Crystal Lake, IL 600143404.
What is Misty Lynn Thillen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Misty Lynn Thillen is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1689751489 to Misty Lynn Thillen?
The Centers for Medicare & Medicaid Services assigned the 1689751489 to Misty Lynn Thillen on 2006-11-01.
As of what date were the details pertaining to Misty Lynn Thillen last refreshed?
The information related to the Misty Lynn Thillen, including its address, specialty, and other relevant details, was last updated on 2007-07-08.