Individual
DR. TIMOTHY E PATERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036154457
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8FX853
BLUE CROSS
—
Enumeration date
10/03/2005
Last updated
03/04/2022
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