Individual
TIMOTHY R HIGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
600 W CERMAK RD STE 3D, CHICAGO, IL 60616-2268
(773) 972-2234
Mailing address
600 W CERMAK RD STE 3D, CHICAGO, IL 60616-2268
(312) 883-8664
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
209.026048
IL
Other
Enumeration date
06/12/2023
Last updated
07/09/2023
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