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Search › Illinois › 225200000X

Timothy Massengill

NPI 1902563943 · on the registry since 2021

Practice

Address
505 Stevens St
Nokomis, IL 62075
Phone
(217) 563-7725
Organisation at this address
Petersen Health Network, Llc
Petersen Health Care - Nokomis, Llc
Nokomis Healthcare & Senior Living Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
225200000X
225200000X
Sex
Male
Record last updated
2021-11-24

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