Timothy Joseph Poland in Mundelein - Family Medicine
Timothy Joseph Poland - NPI 1124069455
Timothy Joseph Poland is a Family Medicine in Mundelein, Illinois. Timothy Joseph Poland practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Timothy Joseph Poland is 1124069455. The last update date is 2020-10-13.
Timothy Joseph Poland's current location address is 1162 W Maple Ave, Mundelein, Illinois. You can contact this provider via phone number 8473672400 and fax number 8473672440. The mailing address for Timothy Joseph Poland is 1162 W Maple Ave, Mundelein, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Joseph Poland |
|---|---|
| Address | 1162 W Maple Ave, Mundelein, Illinois |
| Phone Number | 8473672400 |
| Fax Number | 8473672440 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1124069455 |
|---|---|
| Provider Enumeration Date | 2006-06-09 |
| Last Updated Date | 2020-10-13 |
Provider Mailing Address Detail
| Address | 1162 W Maple Ave |
|---|---|
| City | Mundelein |
| State | Illinois (IL) |
| Post Code | 600601438 |
| Phone Number | 8473672400 |
| Fax Number | 8473672440 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36081143 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36081143 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Timothy Joseph Poland by the Centers for Medicare & Medicaid Services (CMS)?
The Timothy Joseph Poland has been assigned the NPI (National Provider Identifier) 1124069455. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Timothy Joseph Poland's physical address?
The Timothy Joseph Poland is physically located at 1162 W Maple Ave, in the city of Mundelein, IL, with the postal code 600601438.
What is the area of specialization for Timothy Joseph Poland, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Timothy Joseph Poland is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date was the 1124069455 assigned to Timothy Joseph Poland?
The Timothy Joseph Poland was issued its 1124069455 on 2006-06-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Timothy Joseph Poland last refreshed?
The information related to the Timothy Joseph Poland, including its address, specialty, and other relevant details, was last updated on 2020-10-13.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY