Lyman, Timothy

Lyman, Timothy is an individual health care provider with primary practice located at Resurrection Immediate Care Center 7230 W. North Ave Ste 106 B, Elmwood Park IL 60707-4262. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Lyman, Timothy can be contacted via phone (708) 453-3000.

Contact Information

Primary practice address
Resurrection Immediate Care Center 7230 W. North Ave Ste 106 B Elmwood Park IL 60707-4262
Phone: (708) 453-3000
Fax: (708) 453-4660
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 336029683 Illinois

Profile Details

NPI number 1659302263
LBN Legal business name Lyman, Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Mar 22nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659302263 NPPES
Illinois MEDICAID 036065300
Illinois Other 1619414

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