Individual
DR. TIMOTHY L ISHMAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2375 EDGEWOOD RD SW, CEDAR RAPIDS, IA 52404-4736
(319) 396-1983
(319) 739-4372
Mailing address
1285 FRANCISCAN DR, LITCHFIELD, IL 62056-1778
(217) 324-6127
(217) 324-5959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036101065
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036101065
—
IL
01
—
080157450
RAILROAD MEDICARE
IL
01
—
779330
MEDICARE PART B GROUP
IL
Enumeration date
05/11/2006
Last updated
04/08/2026
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