Doctor Name: | DR. LISA THILGES |
NPI Number: | 1447694914 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DVM |
License Number: | 090.009428 |
Business Practice Address: | 110 Main St Box 540 Sugar Grove, IL - 605545440 |
Business Phone Number: | 6304667387 |
Business Fax Number: | 6304669507 |
Mailing Address: | 110 Main St, Box 540 SUGAR GROVE |
State: | IL |
Postal Code: | 605545440 |
Phone Number: | 6304667387 |
Fax Number: | 6304669507 |
NPI Enumeration Date: | 04/26/2013 |
NPI Last Update Date: | 04/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174M00000X |
License Number: | 090.009428 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Veterinarian |
Taxonomy Specialization: | |
Taxonomy Definition: | A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |