TIMOTHY THEOBALD

NORTH CHICAGO, IL
NPI1497156731
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019.030011)
Enumeration Date2014-09-05
Last Update Date2014-09-05
Business Address
-- TIMOTHY THEOBALD D.M.D
2127 GREEN BAY RD
NORTH CHICAGO, IL 60064-2801
Phone number: 847-336-8478
Mailing Address
-- TIMOTHY THEOBALD D.M.D
2045 N NICOLE LN
ROUND LAKE BEACH, IL 60073-2286
Phone number: 847-431-4318
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