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NPI Code Detail

MEDICARE: TIMOTHY SPIEGEL

MEDICARE:   TIMOTHY  SPIEGEL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor178005749IL

General Provider Information

NPI Number : 1427920453
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY SPIEGEL
Provider Business Mailing Address
First Line : 1550 N NORTHWEST HWY STE 360
Second Line :
City : PARK RIDGE
State : IL
Zip : 60068-1461
Country : US
Telephone Number : 847-299-3400
Fax Number :
Provider Business Practice Location Address
First Line : 1550 N NORTHWEST HWY STE 360
Second Line :
City : PARK RIDGE
State : IL
Zip : 60068-1461
Country : US
Telephone Number : 847-299-3400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2025
Last Update Date : 09/19/2025

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Directions to “ TIMOTHY SPIEGEL ” Practice Location

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