Paul M Theisen (NPI# 1639136278, PAC ID# 8224099585) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1639136278 |
| PAC ID by PECOS | 8224099585 |
| Professional Enrollment ID | I20110418000369 |
| Full Name | Paul M Theisen |
| Organization Legal Name | DAVID LOW BACK CENTER DC |
| Address |
1019 W Galena Ave Freeport IL 61032-3819 |
| Phone Number | 8152322225 |
| Gender | M |
| Medical School | PALMER COLLEGE CHIROPRACTIC - DAVENPORT |
| Graduation Year | 1999 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 2062473325 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1019 W Galena Ave, Freeport, IL 61032-3819 | 8152322225 | DAVID LOW BACK CENTER DC |
| Organization Legal Name | DAVID LOW BACK CENTER DC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tara H Theisen | Chiropractic | David Low Back Center Dc | 1019 W Galena Ave, Freeport, IL 61032-3819 |
| Street Address |
1019 W GALENA AVE |
| City | FREEPORT |
| State | IL |
| Zip | 61032-3819 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tara H Theisen | Chiropractic | David Low Back Center Dc | 1019 W Galena Ave, Freeport, IL 61032-3819 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon K Lizer | Nurse Practitioner | Freeport Regional Health Care Foundation | 10 W Linden St, Fhn Community Hcc, Freeport, IL 61032-3310 |
| Elizabeth Myers | Nurse Practitioner | Freeport Regional Health Care Foundation | 10 W Linden St, Fhn Community Hcc, Freeport, IL 61032-3310 |
| Michael Robert Perry | Internal Medicine | Freeport Regional Health Care Foundation | 10 W Linden St, Fhn Community Hcc, Freeport, IL 61032-3310 |
| Danielle E Siedschlag | Nurse Practitioner | Freeport Regional Health Care Foundation | 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801 |
| Farouk F Isawi | Gynecological Oncology | Freeport Regional Health Care Foundation | 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801 |
| Sara E Smith | Nurse Practitioner | Freeport Regional Health Care Foundation | 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801 |
| Linda H Holt | Obstetrics/gynecology | Freeport Regional Health Care Foundation | 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801 |
| Seema Kumar | Neurology | Freeport Regional Health Care Foundation | 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801 |
| Ruhee K Sidhu | Obstetrics/gynecology | Freeport Regional Health Care Foundation | 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801 |
| Keith R Martin | Obstetrics/gynecology | Freeport Regional Health Care Foundation | 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801 |
| Find all physicians in zip 61032 | |||
| City | FREEPORT |
| Zip Code | 61032 |
| Specialty | CHIROPRACTIC |
| City + Specialty | FREEPORT + CHIROPRACTIC |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.