Wombacher, Timothy P

Wombacher, Timothy P is an individual health care provider with primary practice located at 1775 Dempster St , Park Ridge IL 60068-1143. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Wombacher, Timothy P can be contacted via phone (708) 783-7025.

Contact Information

Primary practice address
1775 Dempster St Park Ridge IL 60068-1143
Phone: (708) 783-7025
Fax: (708) 783-7409
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085005389 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA12692 Texas

Profile Details

NPI number 1518226356
LBN Legal business name Wombacher, Timothy P
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2012
Last updated Aug 28th, 2023 - 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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