Thibault Bordeau
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Mundelein, IL
NPI 1629829338 · NPPES record last updated Mar 29, 2024
Key facts
- NPI
- 1629829338
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1640 Savannah Cir
Mundelein, IL 60060-1637 - Phone
- (847) 507-4758
- NPI assigned
- Mar 29, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1640 Savannah Cir
Mundelein, IL 60060-1637
Mailing address
1640 Savannah Cir
Mundelein, IL 60060-1637
Phone (847) 507-4758
Other providers in Mundelein, IL
- Better Home Senior Care, Inc.
- Cheryl Ann Blaz
- Khaled Bleibel
- Paul Michael Blidy
- Steven Jeffrey Blum
- Natasha Bosch
- Braincare, LLC
- Martha Lena Braun
- Pamela Ann Bretthauer
- Jenifer Marie Brickman
All providers in Mundelein, IL · Student in an Organized Health Care Education/Training Program in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.