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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TIMOTHY J MENARD, PA

Active

Medical Physician Assistant · KANKAKEE, IL

Registration Details

NPI Number
1861638306
Provider Type
Individual
Gender
Male
NPI Issued
Jan 6, 2009 (17.307763555795 yrs)
Last Updated
Jan 6, 2009
License
085-000584 (IL)

Practice Information

Address
3000 S JUSTICE WAY
KANKAKEE, IL, 609018449
Browse IL providers · Browse ZIP 60901
Phone
8158020731
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in KANKAKEE, IL

Name Credential NPI
EMILY C RODRIGUEZ PA-C 1871824987
MRS. OLGA BANYS PA-C 1265930127
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.