DR. Timothy Koplik Henderson, MD

NPI #1033600168 in Oak Lawn, Illinois

Provider Information

NPI Number: 1033600168
Entity Type: Individual
Name: DR. Timothy Koplik Henderson, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: MD
Enumeration Date: May 24, 2018
Last Updated: May 24, 2018

Practice Location

Address: 4440 W 95TH ST
City: Oak Lawn
State: Illinois
ZIP Code: 60453-2600
Phone: (708) 684-5375

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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