NPI 1003205279
Theresia Fonge
Practice location
- Address
- 4790 Hickory Creek Dr APT 8, University Park, IL 60484-2740
- Phone
- (630) 936-9862
Registered specialties
Non-emergency Medical Transport (VAN)
Primary
Registry record
- NPI
- 1003205279
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 Jan 2015
- Record last updated
- 12 Jan 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.