Niedzielak, Timothy Raymond

Niedzielak, Timothy Raymond is an individual health care provider with primary practice located at 8201 E Riverside Blvd , Rockford IL 61114-2300. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Trauma, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Niedzielak, Timothy Raymond can be contacted via phone (815) 971-7000.

Contact Information

Primary practice address
8201 E Riverside Blvd Rockford IL 61114-2300
Phone: (815) 971-7000
Fax: (815) 968-7830
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 5665 Florida
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 2022018519 Missouri
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X 2022018519 Missouri
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 5665 Florida
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036165587 Illinois

Profile Details

NPI number 1972028421
LBN Legal business name Niedzielak, Timothy Raymond
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2017
Last updated Sep 12th, 2023 - about last year

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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