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Individual

DR. TIMOTHY C HOLLISTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3201 OLD GLENVIEW RD STE 100, WILMETTE, IL 60091-2964
(847) 512-1849
(847) 512-1850
Mailing address
3201 OLD GLENVIEW RD STE 100, WILMETTE, IL 60091-2964
(847) 512-1849
(847) 512-1850

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036-104662
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036104662
IL
Enumeration date
01/26/2007
Last updated
09/11/2025
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