Provider Demographics
NPI:1982651501
Name:FIGGE, THERESA MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:THERESA
Middle Name:MARIE
Last Name:FIGGE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:THRESA
Other - Middle Name:M
Other - Last Name:STILLINGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:235 VANCE ST
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-2439
Mailing Address - Country:US
Mailing Address - Phone:312-560-2792
Mailing Address - Fax:
Practice Address - Street 1:400 N HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-3814
Practice Address - Country:US
Practice Address - Phone:630-892-4355
Practice Address - Fax:630-892-2832
Is Sole Proprietor?:No
Enumeration Date:2006-05-28
Last Update Date:2012-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036087534208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036087534OtherLICENSED PHYSICIAN AND SU
IL036087534OtherLICENSED PHYSICIAN AND SU