NPI 1033600168
Timothy Koplik Henderson, MD
Practice location
- Address
- 4440 W 95th St, Oak Lawn, IL 60453-2600
- Phone
- (708) 684-5375
Registered specialties
Emergency Medicine Physician
Primary
Registry record
- NPI
- 1033600168
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 24 May 2018
- Record last updated
- 24 May 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.