# TIMOTHY PUTNAM, M.D., S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689734139
- **Authorized official:** TIMOTHY D PUTNAM M.D. (PRESIDENT)
- **Authorized official phone:** (630) 645-9900

## Contact information

- **Practice address:** 2800 W 95TH ST, EVERGREEN PARK, IL 60805-2701
- **Practice address phone:** (708) 422-6200
- **Mailing address:** 900 JORIE BLVD, STE 220, OAK BROOK, IL 60523-2213
- **Mailing address phone:** (630) 645-9900
- **Mailing address fax:** (630) 645-9910

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/12/2006
- **Last updated:** 07/13/2007