Individual
TIMOTHY LUBENOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1653 W CONGRESS PKWY, 735 JELKE ANESTHESIA DEPARTMENT, CHICAGO, IL 60612-3833
(312) 942-6504
(312) 942-5773
Mailing address
1653 W CONGRESS PKWY, 735 JELKE ANESTHESIA DEPARTMENT, CHICAGO, IL 60612-3833
(312) 942-6504
(312) 942-5773
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036-069362
IL
208600000X
Surgery Physician
036069362
IL
208VP0000X
Pain Medicine Physician
036069362
IL
208VP0014X
Interventional Pain Medicine Physician
Primary
036069362
IL
Other
Enumeration date
07/15/2006
Last updated
08/11/2014
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