Larsen, Timothy Raymond

Larsen, Timothy Raymond is an individual health care provider with primary practice located at 1725 W Harrison St Ste 1159 , Chicago IL 60612. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Larsen, Timothy Raymond can be contacted via phone (312) 942-5020.

Contact Information

Primary practice address
1725 W Harrison St Ste 1159 Chicago IL 60612
Phone: (312) 942-5020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036-149085 Illinois
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 036-149085 Illinois

Profile Details

NPI number 1477845337
LBN Legal business name Larsen, Timothy Raymond
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2011
Last updated Jul 23rd, 2019 - about 5 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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