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1679848998
TIMOTHY MICHAEL KETTERHAGEN
OAK LAWN, IL
NPI
1679848998
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0204X Pediatrics, Pediatric Emergency Medicine
(Licence: IL 036137365)
Enumeration Date
2012-03-20
Last Update Date
2021-12-09
Business Address
TIMOTHY MICHAEL KETTERHAGEN M.D.
4440 W 95TH ST
OAK LAWN, IL 60453
Phone number: 708-684-5354
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Mailing Address
TIMOTHY MICHAEL KETTERHAGEN M.D.
4440 W 95TH ST
OAK LAWN, IL 60453-2600
Phone number:
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