Brown, Timothy J.

Brown, Timothy J. is an individual health care provider with primary practice located at 10733 W. 165Th St. , Orland Park IL 60467-8713. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Brown, Timothy J. can be contacted via phone (708) 957-7468.

Contact Information

Primary practice address
10733 W. 165Th St. Orland Park IL 60467-8713
Fax: (708) 957-7471
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 36102536 Illinois

Profile Details

NPI number 1366425175
LBN Legal business name Brown, Timothy J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2005
Last updated Mar 17th, 2010 - about 14 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 1366425175 NPPES
Illinois MEDICAID 036102536

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