Ketterhagen, Timothy Michael

Ketterhagen, Timothy Michael is an individual health care provider with primary practice located at 4440 W 95Th St , Oak Lawn IL 60453. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Ketterhagen, Timothy Michael can be contacted via phone (708) 684-5354.

Contact Information

Primary practice address
4440 W 95Th St Oak Lawn IL 60453
Phone: (708) 684-5354
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 036137365 Illinois

Profile Details

NPI number 1679848998
LBN Legal business name Ketterhagen, Timothy Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2012
Last updated Dec 9th, 2021 - about 3 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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