Healthcare Provider Details

I. General information

NPI: 1336072917
Provider Name (Legal Business Name): KATHRYN TIMM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 TOWER DR STE 101
BURR RIDGE IL
60527-5778
US

IV. Provider business mailing address

100 TOWER DR STE 101
BURR RIDGE IL
60527-5778
US

V. Phone/Fax

Practice location:
  • Phone: 630-321-3555
  • Fax:
Mailing address:
  • Phone: 630-321-3555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number3598
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: