Timothy S Petsche, M.D.
Orthopaedic Surgery, Sports Medicine in Geneva, IL. Individual provider (NPI-1).
NPI number1124099809
StatusActive
Last updated in NPPESDec 30, 2021
Details
- NPI
- 1124099809
- Entity type
- Individual (NPI-1)
- Name
- Timothy S Petsche
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 30, 2006
- Certification date
- Dec 30, 2021
- Last updated
- Dec 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery, Sports Medicine | 036101880 | IL | Yes |
| 207X00000X | Orthopaedic Surgery | 036-101880 | IL |
Practice location
2525 Kaneville RdGeneva, IL 60134-2578
Phone 630-584-1400 · Fax 630-584-1733
Mailing address
2525 Kaneville RdGeneva, IL 60134-2578
Phone 630-584-1400 · Fax 630-584-1733
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