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1427088061
TIMOTHY S WOLLNER
EVERGREEN PARK, IL
NPI
1427088061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036073267)
Enumeration Date
2006-07-03
Last Update Date
2016-01-21
Business Address
-- TIMOTHY S WOLLNER D.O.
2850 W 95TH ST SUITE 101
EVERGREEN PARK, IL 60805-2735
Phone number: 708-425-9550
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Mailing Address
-- TIMOTHY S WOLLNER D.O.
2850 W 95TH ST SUITE 101
EVERGREEN PARK, IL 60805-2735
Phone number: 708-425-9550
Copy
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