DR. Justin Lee Theleman, MD is a student in an organized health care education training program in Peoria, IL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Justin Lee Theleman, MD NPI is 1952965634. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
530 NE GLEN OAK AVE
PEORIA, IL
ZIP 61637-001
Phone: (844) 673-2778
The NPI 1952965634 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/28/2019 and was last updated on 4/28/2019.