Tharenos, Christine L

Tharenos, Christine L is an individual health care provider with primary practice located at 2321 N Wisconsin Ave , Peoria IL 61603-5613. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Tharenos, Christine L can be contacted via phone (309) 680-7600.

Contact Information

Primary practice address
2321 N Wisconsin Ave Peoria IL 61603-5613
Phone: (309) 680-7600
Fax: (309) 681-4681
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD113191 Missouri
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 201201008 North Carolina

Profile Details

NPI number 1992757322
LBN Legal business name Tharenos, Christine L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992757322 NPPES
Illinois MEDICAID 036140703

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