Individual
DR. TIMOTHY L BOLLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3922 MERCY DR, MCHENRY, IL 60050-3179
(815) 578-2020
(815) 344-4779
Mailing address
3922 MERCY DR, MCHENRY, IL 60050-3179
(815) 578-2020
(815) 344-4779
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036106882
IL
207P00000X
Emergency Medicine Physician
52526-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BOLLITIM
MERCYCARE INSURANCE
WI
Enumeration date
06/18/2006
Last updated
10/21/2013
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