Search › Illinois › 363A00000X
Timothy Wombacher, PA
NPI 1518226356 · on the registry since 2012
Practice
- Address
- 1775 Dempster St
Park Ridge, IL 60068 - Phone
- (708) 783-7025
- Fax
- (708) 783-7409
- Organisation at this address
- Irma Esposito
Kimberly Vincent
Advocate Lutheran General
Lutheran General Hospital
Advocate Aurora HealthcareInferred from a shared address, not stated in the registry. - Clinicians at this address
- 454
Additional practice sites
- 11970 N Central Expy Ste 210, Dallas, TX
- 3537 S Interstate 35 E Ste 220, Denton, TX
- 3900 St Francis Way Ste 200, Lafayette, IN
- 703 S Fleishel Ave Ste 5000, Tyler, TX
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AS0400X
- Licence states on file
- IL, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-08-28
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