Organization
ALEXANDER TIMCHAK MD LLC
Active
Organization
ALEXANDER TIMCHAK MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER M TIMCHAK M.D. (MANAGER)
(708) 207-4580
Entity
Organization
Contact information
Practice address
60 REVERE DR STE 100, NORTHBROOK, IL 60062-1590
(708) 207-4580
Mailing address
60 REVERE DR STE 100, NORTHBROOK, IL 60062-1590
(708) 207-4580
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
336090545
IL
2084P0804X
Child & Adolescent Psychiatry Physician
336090545
IL
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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