TIMOTHY J PENN

GLEN CARBON, IL
NPI1124003439
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: IL  036092240)
Enumeration Date2005-12-08
Last Update Date2015-02-03
Business Address
-- TIMOTHY J PENN MD
4802 S STATE ROUTE 159
GLEN CARBON, IL 62034-1904
Phone number: 618-288-4388
Mailing Address
-- TIMOTHY J PENN MD
4802 S STATE ROUTE 159
GLEN CARBON, IL 62034-1904
Phone number: 618-288-4388
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