Lahood, Timothy M
Lahood, Timothy M is an sole proprietor health care provider with primary practice located at 5401 N Knoxville Ave Suite 400, Peoria IL 61614-5021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lahood, Timothy M can be contacted via phone (309) 689-0909.Contact Information
Primary practice address
5401 N Knoxville Ave Suite 400
Peoria IL 61614-5021
Phone: (309) 689-0909
Fax: (309) 689-3434
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036089054 | Illinois |
Profile Details
| NPI number | 1245223130 |
|---|---|
| LBN Legal business name | Lahood, Timothy M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 25th, 2005 |
| Last updated | Dec 14th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245223130 | NPPES |
| Illinois | MEDICAID | 036089054 |
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