Jantz, Timothy T

Jantz, Timothy T is an individual health care provider with primary practice located at 388 W Terra Cotta Ave , Crystal Lake IL 60014-3512. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Jantz, Timothy T can be contacted via phone (815) 459-3668.

Contact Information

Primary practice address
388 W Terra Cotta Ave Crystal Lake IL 60014-3512
Phone: (815) 459-3668
Fax: (815) 459-3476
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X Illinois

Profile Details

NPI number 1447259080
LBN Legal business name Jantz, Timothy T
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated Jul 8th, 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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