Search › Illinois › 207WX0109X
Timothy Kietzman, M.D
NPI 1952689705 · on the registry since 2011
Practice
- Address
- 2015 N Main St
Wheaton, IL 60187 - Phone
- (630) 668-8250
- Organisation at this address
- Wheaton Eye Clinic Ltd
Wheaton Eye Clinic Ltd
Dupage Eye Anesthesiology Llc
Dupage Eye Surgery Center, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 58
Registry record
- Primary taxonomy
- 207WX0109X
207WX0109X
- Also registered as
- 207W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-21
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