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1336503580
TIMOTHY RIDDELL
CHICAGO, IL
NPI
1336503580
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085005782)
Enumeration Date
2016-04-13
Last Update Date
2016-07-23
Business Address
-- TIMOTHY RIDDELL PA-C
251 E HURON ST
CHICAGO, IL 60611-2908
Phone number: 312-926-6895
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Mailing Address
-- TIMOTHY RIDDELL PA-C
251 E HURON ST
CHICAGO, IL 60611-2908
Phone number:
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