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Individual

MR. TIMOTHY L FREEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
25210 BLAKELY DR, PLAINFIELD, IL 60585-6750
(630) 749-8988
Mailing address
25210 BLAKELY DR, PLAINFIELD, IL 60585-6750
(630) 749-8988

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
041359711
IL
163WI0500X
Infusion Therapy Registered Nurse
Primary
041359711
IL

Other

Enumeration date
01/30/2012
Last updated
01/30/2012
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