Healthcare Provider Details

I. General information

NPI: 1982651501
Provider Name (Legal Business Name): THERESA MARIE FIGGE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: THRESA M STILLINGS

II. Dates (important events)

Enumeration Date: 05/28/2006
Last Update Date: 08/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 N HIGHLAND AVE
AURORA IL
60506-3814
US

IV. Provider business mailing address

235 VANCE ST
LOMBARD IL
60148-2439
US

V. Phone/Fax

Practice location:
  • Phone: 630-892-4355
  • Fax: 630-892-2832
Mailing address:
  • Phone: 312-560-2792
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number036087534
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: