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Makenzie Thiel

NPI 1912611013 · on the registry since 2023

Practice

Address
343 Fountains Pkwy Unit 201
Fairview Heights, IL 62208
Phone
(618) 515-1441
Clinicians at this address
46

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-01-12

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