Provider Demographics
NPI:1447694914
Name:THILGES, LISA (DVM)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:
Last Name:THILGES
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 MAIN ST
Mailing Address - Street 2:BOX 540
Mailing Address - City:SUGAR GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60554-5440
Mailing Address - Country:US
Mailing Address - Phone:630-466-7387
Mailing Address - Fax:630-466-9507
Practice Address - Street 1:110 MAIN ST
Practice Address - Street 2:BOX 540
Practice Address - City:SUGAR GROVE
Practice Address - State:IL
Practice Address - Zip Code:60554-5440
Practice Address - Country:US
Practice Address - Phone:630-466-7387
Practice Address - Fax:630-466-9507
Is Sole Proprietor?:No
Enumeration Date:2013-04-26
Last Update Date:2013-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL090.009428174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian