PETER THEISS

CHICAGO, ID
NPI1881122513
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-05-25
Last Update Date2017-05-25
Business Address
PETER THEISS MD
912 S WOOD ST 451N - MC 799
CHICAGO, ID 60612
Phone number: 847-606-9866
Mailing Address
PETER THEISS MD
300 N CANAL ST APT 711
CHICAGO, IL 60606-1263
Phone number: 847-606-9866