Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jillian Lee Theobald, MDPHD

Individual provider Emergency Medicine Physician · NPI 1750606968

Dr. Jillian Lee Theobald, MDPHD is an Emergency Medicine in Milwaukee, Wisconsin. Qualified in 2010, 16 years ago. Practices with The Medical College of Wisconsin Inc, a 2,093-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
16
Licensed in
IL, WI
In the registry since
2010
Specialties on file
3
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Practice location Address checks out

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone: (414) 805-6450
Fax: (414) 805-6464
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4805 S Moorland Rd, New Berlin, WI 53151-7401 — (262) 798-7200

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 64253 (WI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 125.057942 (IL)
Medical Toxicology (Emergency Medicine) Physician Taxonomy 207PT0002X · Licence 64253 (WI)

Record details

NPI number1750606968
Entity typeIndividual (Type 1)
GenderFemale
Credentials MDPHD
Sole proprietorNo
NPI enumeratedMarch 30, 2010
Last updated in NPPESNovember 7, 2022
Certification dateNovember 7, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice The Medical College Of Wisconsin Inc — 2093 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Milwaukee