| Dr Timothy Wells King, MD, PHD | |
|
2160 S 1st Ave, Maywood, IL 60153-3328 | |
| (708) 216-9000 | |
| Not Available |
| Full Name | Dr Timothy Wells King |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 24 Years |
| Location | 2160 S 1st Ave, Maywood, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861514986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 34866 (Alabama) | Secondary |
| 208200000X | Plastic Surgery | 52045 (Wisconsin) | Secondary |
| 208200000X | Plastic Surgery | 036117954 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Loyola University Medical Center | Maywood, IL | Hospital |
| Grant Regional Health Center | Lancaster, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Loyola University Medical Center | 3779488903 | 926 |
| Entity Name | Loyola University Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Timothy Wells King, MD, PHD 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 216-9000 | Dr Timothy Wells King, MD, PHD 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 216-9000 |
Dr. Lohith Bose, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Ems Bldg 110, Room 3210, Maywood, IL 60153 Phone: 708-327-3041 Fax: 708-327-3489 | |
Dr. Uma Ikechukwu Maduekwe, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-327-3436 | |
Dr. Taylor Morgan, MD, MPH Plastic Surgery Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 313-820-8139 | |
Joel Bronstein, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 |