TIMOTHY J MENARD

KANKAKEE, IL
NPI1861638306
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: IL  085-000584)
Enumeration Date2009-01-06
Last Update Date2009-01-06
Business Address
-- TIMOTHY J MENARD PA
3000 S JUSTICE WAY
KANKAKEE, IL 60901-8449
Phone number: 815-802-0731
Mailing Address
-- TIMOTHY J MENARD PA
555 W COURT ST STE 410
KANKAKEE, IL 60901-3675
Phone number: 815-802-0731
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