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NPI Code Detail

MEDICARE: ASHA KATHRYN THIELE RPH

MEDICARE: ASHA KATHRYN THIELE RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist16908NV

General Provider Information

NPI Number : 1295014454
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHA KATHRYN THIELE RPH
Provider Business Mailing Address
First Line : 2100 E LAKE COOK RD
Second Line :
City : BUFFALO GROVE
State : IL
Zip : 60089-1999
Country : US
Telephone Number : 702-587-5477
Fax Number :
Provider Business Practice Location Address
First Line : 2100 E LAKE COOK RD
Second Line :
City : BUFFALO GROVE
State : IL
Zip : 60089-1999
Country : US
Telephone Number : 702-587-5477
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2011
Last Update Date : 03/10/2026

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Directions to “ ASHA KATHRYN THIELE RPH” Practice Location

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