MEDICARE: TIMOTHY J CAHILL D.O.

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
1	207R00000X	Internal Medicine Physician	036067067	IL

General Provider Information

NPI Number	:	1578569505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOTHY J CAHILL D.O.

Provider Business Mailing Address
First Line	:	581 E GOLF RD
Second Line	:
City	:	DES PLAINES
State	:	IL
Zip	:	60016-2349
Country	:	US
Telephone Number	:	847-297-2240
Fax Number	:	847-297-7270

Provider Business Practice Location Address
First Line	:	150 N RIVER RD
Second Line	:	STE 210
City	:	DES PLAINES
State	:	IL
Zip	:	60016-1272
Country	:	US
Telephone Number	:	847-759-4060
Fax Number	:	847-759-4066

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	08/11/2008

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Directions to “ TIMOTHY J CAHILL D.O.” Practice Location

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