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Individual

TIMOTHY D PUTNAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2800 W 95TH ST, EVERGREEN PARK, IL 60805-2701
(708) 422-6200
Mailing address
900 JORIE BLVD STE 220, OAK BROOK, IL 60523-3846
(630) 645-9900
(630) 645-9910

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
IL

Other

Enumeration date
08/17/2006
Last updated
07/08/2007
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