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Timothy Penn, MD

NPI 1124003439 · on the registry since 2005

Practice

Address: 4802 S State Route 159
Glen Carbon, IL 62034
Phone: (618) 288-4388
Fax: (618) 288-4927
Organisation at this address: Ahs Il Medical Group Llc
Granite City Orthopedic Physicians Company Llc
Granite City Orthopedic Physicians Company Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: Orthopaedic Surgery Physician
207X00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-02-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois