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Individual

TIMOTHY A PFLEDERER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
420 NE GLEN OAK AVE STE 401, PEORIA, IL 61603-3112
(309) 676-8123
(309) 676-8455
Mailing address
420 NE GLEN OAK AVE STE 401, PEORIA, IL 61603-3112
(309) 676-8123
(309) 676-8455

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036084038
IL
2086S0129X
Vascular Surgery Physician
036084038
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036079640
IL
Enumeration date
03/06/2007
Last updated
02/11/2025
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