Tyrrell, Timothy J

Tyrrell, Timothy J is an individual health care provider with primary practice located at 120 Spalding Dr Ste 303, Naperville IL 60540-6557. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Tyrrell, Timothy J can be contacted via phone (630) 527-5575.

Contact Information

Primary practice address
120 Spalding Dr Ste 303 Naperville IL 60540-6557
Phone: (630) 527-5575
Fax: (630) 527-5573
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-058551 Illinois

Profile Details

NPI number 1578551719
LBN Legal business name Tyrrell, Timothy J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Nov 23rd, 2015 - about 11 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 1578551719 NPPES
Illinois Other 2221474 BCBS
Illinois MEDICAID 036058551 2 BCBS

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