Raines, Timothy Grant

Raines, Timothy Grant is an sole proprietor health care provider with primary practice located at 530 Ne Glen Oak Ave , Peoria IL 61603-3133. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Raines, Timothy Grant can be contacted via phone (309) 655-2268.

Contact Information

Primary practice address
530 Ne Glen Oak Ave Peoria IL 61603-3133
Phone: (309) 655-2268
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01064696A Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 125-049400 Illinois

Profile Details

NPI number 1932305182
LBN Legal business name Raines, Timothy Grant
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2007
Last updated Feb 17th, 2022 - 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.

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