| Doctor Name: | MRS. EMMY M THIES |
| NPI Number: | 1184744989 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BS, RD, LDN |
| License Number: | |
| Business Practice Address: | 600 S 13th St Pekin, IL - 615544936 |
| Business Phone Number: | 3093530508 |
| Business Fax Number: | 3093530710 |
| Mailing Address: | 2421 Willow St, PEKIN |
| State: | IL |
| Postal Code: | 615543034 |
| Phone Number: | 3092670595 |
| Fax Number: | |
| NPI Enumeration Date: | 03/29/2007 |
| NPI Last Update Date: | 10/02/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |