Individual
TIMOTHY RAY NEWCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
14724 EDINBURGH CT, HOMER GLEN, IL 60491-3387
(708) 301-7981
(708) 301-6765
Mailing address
14724 EDINBURGH CT, HOMER GLEN, IL 60491-3387
(708) 301-7981
(708) 301-6765
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
IL
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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