Individual
TIMOTHY TREADWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
268 MAIN ST, PARK FOREST, IL 60466-2098
(312) 870-0828
Mailing address
268 MAIN ST, PARK FOREST, IL 60466-2098
(312) 870-0828
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/03/2023
Last updated
03/03/2023
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