Individual
DR. TIMOTHY GERARD SCANLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
251 E HURON ST, FEINBERG 4-710X, CHICAGO, IL 60611-2908
(312) 926-5113
Mailing address
251 E HURON ST, FEINBERG 4-710X, CHICAGO, IL 60611-2908
(312) 926-5113
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
125054694
IL
Other
Enumeration date
08/01/2008
Last updated
08/01/2008
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