Timothy Niehaus, CNIM

NPI #1528696119 in Chicago, Illinois

Provider Information

NPI Number: 1528696119
Entity Type: Individual
Name: Timothy Niehaus, CNIM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician/Technologist
Credential: CNIM
Enumeration Date: Mar 30, 2020
Last Updated: Mar 30, 2020

Practice Location

Address: 2058 N CLEVELAND AVE APT 2
City: Chicago
State: Illinois
ZIP Code: 60614-7140
Phone: (734) 545-2507

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist	156F00000X	Primary

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