KELLI M THEISEN

MEDICAL ASSOCIATES CLINIC PC

Dr KELLI M THEISEN is a female medical professional, specializing in Optometry. She graduated in 2014 from Illinois College Of Optometry At Chicago.

Contact

MEDICAL ASSOCIATES CLINIC PC

10988 BARTEL BLVD
GALENA
IL
610368216

Tel: 8157770900

KELLI M THEISEN Information

Npi 1255746525
Pac Id 7911124540
Professional Enrollment Id I20140805002682
Last Name THEISEN
First Name KELLI
Middle Name M
Suffix
Gender F
Credential
Medical School Name ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduation Year 2014
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MEDICAL ASSOCIATES CLINIC PC
Group Practice Pac Id 3870491228
Number Of Group Practice Members 167
Line 1 Street Address 10988 BARTEL BLVD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City GALENA
State IL
Zip Code 610368216
Phone Number 8157770900
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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