Mcgonagle, Timothy K

Mcgonagle, Timothy K is an individual health care provider with primary practice located at 3340 Oak Park Ave Suite 200, Berwyn IL 60402-3420. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Mcgonagle, Timothy K can be contacted via phone (708) 783-0222.

Contact Information

Primary practice address
3340 Oak Park Ave Suite 200 Berwyn IL 60402-3420
Phone: (708) 783-0222
Fax: (708) 783-0223
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036-083835 Illinois

Profile Details

NPI number 1144215229
LBN Legal business name Mcgonagle, Timothy K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2005
Last updated Dec 27th, 2007 - about 19 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 1144215229 NPPES
Illinois MEDICAID 036083835
Illinois Other 130024570

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