Search › Illinois › 363LF0000X
Melissa Theobald, FNP
NPI 1114763737 · on the registry since 2024
Practice
- Address
- 3626 N Sheridan Rd
Peoria, IL 61604 - Phone
- (309) 308-5100
- Organisation at this address
- Osf Multi-Specialty Group
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 163W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois