Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY J PENN, MD
ActiveTIMOTHY J PENN, MD is a Orthopaedic Surgery healthcare provider located in GLEN CARBON, Illinois. NPI 1124003439 is currently active in the NPPES registry. Verify at CMS.
Orthopaedic Surgery · GLEN CARBON, IL
Registration Details
- NPI Number
- 1124003439
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 8, 2005 (20.697308307265 yrs)
- Last Updated
- Feb 3, 2015
- License
-
036092240 (IL)
Practice Information
- Address
-
4802 S STATE ROUTE 159GLEN CARBON, IL, 620341904Browse IL providers · Browse ZIP 62034
- Phone
- 6182884388
- Fax
- 6182884927
- Primary Specialty
-
Orthopaedic Surgery
207X00000X
Other Orthopaedic Surgery Providers in GLEN CARBON, IL
| Name | Credential | NPI |
|---|---|---|
| PETER J ANDERSON | MD | 1548245848 |
| CRAIG A BEYER | MD | 1437134731 |
| PAUL J SCHERER | MD | 1881679181 |
| JAMES SOLA | MD | 1306821616 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.