Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. THERESA LYNN FITZGERALD, D.T.
Active Sole ProprietorMRS. THERESA LYNN FITZGERALD, D.T. is a Counselor healthcare provider located in POLO, Illinois. NPI 1902924590 is currently active in the NPPES registry. Verify at CMS.
Counselor · POLO, IL
Registration Details
- NPI Number
- 1902924590
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 26, 2007 (19.372537504935 yrs)
- Last Updated
- Dec 3, 2019
- License
-
178002457 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6301 SOUTH UNITY ROADPOLO, IL, 610649304Browse IL providers · Browse ZIP 61064
- Phone
- 8159463402
- Fax
- 8159463402
- Primary Specialty
-
Counselor
101Y00000X
- Additional Specialty
- Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.