Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 036075681 | IL |
Y | 207RP1001X | Pulmonary Disease | 036075681 | IL |
N | 207RS0012X | Sleep Medicine | 036075681 | IL |
NPI | 1023061116 |
---|---|
Provider Name | Dr. Timothy J Mcgee |
First Address | Winfield, IL 60190-1295 |
Second Address | Winfield, IL 60190-1295 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2006 |
Last Update Date | 30/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036075681 | (05) | IL |
1617373 | BCBS (01) | IL |
206147 | MEDICARE PTAN (GROUP) (01) | IL |
F400187341 | MEDICARE PTAN (INDIVIDUAL) (01) | IL |
F54304 | (02) | IL |