Individual
TIMOTHY C HAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
259 E ERIE ST STE 1900, CHICAGO, IL 60611-3246
(312) 695-7950
(312) 695-5747
Mailing address
PO BOX 11192, CHICAGO, IL 60611-0192
(312) 274-0197
(312) 274-0198
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036-059122
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2630325
BLUECROSSBLUESHIELD
IL
Enumeration date
09/22/2005
Last updated
12/24/2024
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