Laurie, Timothy John
Laurie, Timothy John is an individual health care provider with primary practice located at 825 S Milwaukee Ave , Libertyville IL 60048-3218. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Laurie, Timothy John can be contacted via phone (847) 362-1393.Contact Information
Primary practice address
825 S Milwaukee Ave
Libertyville IL 60048-3218
Phone: (847) 362-1393
Fax: (847) 367-1480
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 036114072 | Illinois |
Profile Details
| NPI number | 1790941078 |
|---|---|
| LBN Legal business name | Laurie, Timothy John |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 6th, 2008 |
| Last updated | Jan 20th, 2023 - about 2 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 | 1790941078 | NPPES |
| Illinois | Other | 362169147 | EMPLYOR I.D. NUMBER |
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