Individual
TIMOTHY WITHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(888) 824-0200
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036178633
IL
207T00000X
Neurological Surgery Physician
D61713
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407572200
—
MD
Enumeration date
06/20/2006
Last updated
04/10/2026
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