Russell, Timothy J.
Russell, Timothy J. is an individual health care provider with primary practice located at 17495 La Grange Rd , Tinley Park IL 60487-7581. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Russell, Timothy J. can be contacted via phone (708) 406-3243.Contact Information
Primary practice address
17495 La Grange Rd
Tinley Park IL 60487-7581
Phone: (708) 406-3243
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036-0685741 | Illinois |
Profile Details
| NPI number | 1962418103 |
|---|---|
| LBN Legal business name | Russell, Timothy J. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Jun 15th, 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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