Individual
DR. TIMOTHY J MEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
1740 W TAYLOR ST, EMERGENCY DEPARTMENT, CHICAGO, IL 60612-7232
(312) 413-7492
Mailing address
808 S WOOD ST, 4TH FLOOR, CHICAGO, IL 60612-7300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036120317
IL
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
Primary
036-120317
IL
Other
Enumeration date
03/18/2008
Last updated
04/27/2021
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