Most Relevant Information
Provider Data
| NPI Number: | 1003690926 |
| Provider Name: | EMILY TEGTMEIER |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 209027439 |
Most Important Dates
| Enumeration Date: | 08/22/2023 |
| Last Updated: | 08/22/2023 |
Provider Practice Location
4565 HERON DR
LAKE IN THE HILLS
IL
601561070
Practice Location Phone/Fax
| Phone: | 2242136521 |
| Fax: |
Provider Mailing Location
4565 HERON DR
LAKE IN THE HILLS
IL
601561070
Provider Mailing Phone/Fax
| Phone: | 2242136521 |
| Fax: |