Individual
TIMOTHY BERNARD LAUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
251 E HURON ST, GALTER 3-150, CHICAGO, IL 60611-2908
(312) 695-1261
Mailing address
251 E HURON ST, GALTER 3-150, CHICAGO, IL 60611-2908
(312) 695-1261
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036123218
IL
208600000X
Surgery Physician
125050673
IL
Other
Enumeration date
08/06/2008
Last updated
02/03/2022
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