Lahood, Timothy M

Lahood, Timothy M is an sole proprietor health care provider with primary practice located at 5401 N Knoxville Ave Suite 400, Peoria IL 61614-5021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lahood, Timothy M can be contacted via phone (309) 689-0909.

Contact Information

Primary practice address
5401 N Knoxville Ave Suite 400 Peoria IL 61614-5021
Phone: (309) 689-0909
Fax: (309) 689-3434
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036089054 Illinois

Profile Details

NPI number 1245223130
LBN Legal business name Lahood, Timothy M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2005
Last updated Dec 14th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245223130 NPPES
Illinois MEDICAID 036089054

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