Individual
DR. TIMOTHY WELLS KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
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
208200000X
Plastic Surgery Physician
Primary
036117954
IL
208200000X
Plastic Surgery Physician
34866
AL
208200000X
Plastic Surgery Physician
52045
WI
Other
Enumeration date
04/06/2007
Last updated
05/21/2022
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