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1417308925
TIMOTHY CRAIG WIRT
GENEVA, IL
NPI
1417308925
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: IL 016.005856)
Enumeration Date
2016-06-27
Last Update Date
2019-08-13
Business Address
Dr. TIMOTHY CRAIG WIRT DPM
351 DELNOR DR STE 401
GENEVA, IL 60134-4235
Phone number: 630-933-4056
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Mailing Address
Dr. TIMOTHY CRAIG WIRT DPM
680 NORTH LAKE SHORE DRIVE
CHICAGO, IL 60611-2987
Phone number: 312-695-6868
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