Timothy Ray Price
Podiatrist Prosthetist
815 N Larkin Ave Suite 207
Joliet
, Illinois 60435-3438
Timothy Ray Price
Podiatrist Prosthetist
815 N Larkin Ave Suite 207
Joliet
, Illinois 60435-3438
(847) 470-1287
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About
Features
Specialties
- Podiatrist
- Prosthetist
Languages spoken
- English
Location
First Address
- Timothy Ray Price
- 7633 Church St
- Morton Grove, IL
- Zip : 60053-1618
- Fax : (847) 470-1287
- Phone : (847) 470-1287
Second Address
- Timothy Ray Price
- 815 N Larkin Ave Suite 207
- Joliet, IL
- Zip : 60435-3438
- Fax : (815) 207-4200
- Phone : (815) 207-4200
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 213-000028 | IL |
| N | 222Z00000X | Podiatrist | 213-000028 | IL |
| N | 224P00000X | Prosthetist | 211-000025 | IL |
National Provider Identifier
| NPI | 1487851283 |
|---|---|
| Provider Name | Timothy Ray Price |
| First Address | Morton Grove, IL 60053-1618 |
| Second Address | Joliet, IL 60435-3438 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/06/2007 |
| Last Update Date | 10/07/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| XX-XXX1669 | (05) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.