TIMOTHY RIDDELL

CHICAGO, IL
NPI1336503580
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085005782)
Enumeration Date2016-04-13
Last Update Date2016-07-23
Business Address
-- TIMOTHY RIDDELL PA-C
251 E HURON ST
CHICAGO, IL 60611-2908
Phone number: 312-926-6895
Mailing Address
-- TIMOTHY RIDDELL PA-C
251 E HURON ST
CHICAGO, IL 60611-2908
Phone number: