Timothy J Brown, MD | |
10733 W. 165th St., Orland Park, IL 60467-8713 | |
(708) 957-7468 | |
(708) 957-7471 |
Full Name | Timothy J Brown |
---|---|
Gender | Male |
Speciality | Allergy & Immunology - Allergy |
Location | 10733 W. 165th St., Orland Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366425175 | NPI | - | NPPES |
036102536 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207KA0200X | Allergy & Immunology - Allergy | 36102536 (Illinois) | Primary |
Entity Name | Pediatric Faculty Foundation Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518064716 PECOS PAC ID: 4789597279 Enrollment ID: O20031111000157 |
Mailing Address | Practice Location Address |
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Timothy J Brown, MD 10733 W. 165th St., Orland Park, IL 60467-8713 Ph: (708) 957-7468 | Timothy J Brown, MD 10733 W. 165th St., Orland Park, IL 60467-8713 Ph: (708) 957-7468 |
Michael J Flais, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 10733 W. 165th St., Orland Park, IL 60467 Phone: 708-957-7468 Fax: 708-957-7471 | |
Dr. Padma Tipirneni, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 17608 San Bernardino Dr, Orland Park, IL 60467 Phone: 650-704-7523 | |
Richard R Fitzsimons, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 10733 W. 165th St., Orland Park, IL 60467 Phone: 708-957-7468 Fax: 708-957-7471 | |
Cassandra Adams Lickert, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 9550 W 167th St, Orland Park, IL 60467 Phone: 708-873-4500 Fax: 708-873-4505 | |
Umapathi Cattamanchi, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 10759 Winterset Dr, Unit A2, Orland Park, IL 60467 Phone: 708-460-8111 Fax: 708-460-8110 | |
Mark Lowenthal, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 10733 W. 165th St., Orland Park, IL 60467 Phone: 708-957-7468 Fax: 708-957-7471 |