Timothy Michael Ketterhagen
M.D. | Pediatric Emergency Medicine | Male
Timothy Michael Ketterhagen, M.D. is a Oak Lawn, Illinois based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Timothy Michael Ketterhagen is
4440 W 95th St, Oak Lawn, Illinois - 60453. He can be contacted on phone at
708-684-5354.
Timothy Michael Ketterhagen is a sole proprietor of his business.
NPI number (Unique professional ID) for Timothy Michael Ketterhagen is
1679848998 which was assigned by NPPES on 20 Mar, 2012 and it was last updated on 09 Dec, 2021.
Timothy Michael Ketterhagen license number is
036137365 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Illinois.
Timothy Michael Ketterhagen has special qualifications to manage emergencies in infants and children.
Complete Profile:
Timothy Michael Ketterhagen basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Timothy Michael Ketterhagen |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Timothy Michael Ketterhagen address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4440 W 95th St
Oak Lawn, IL, 60453
United States |
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| Phone Number : | 708-684-5354 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1679848998 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 20 Mar, 2012 |
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| Last Updated On : | 09 Dec, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Timothy Michael Ketterhagen are as mentioned. Primary taxonomy code for Timothy Michael Ketterhagen, M.D. is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | 036137365 | IL |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
5841 S MARYLAND AVE,
CHICAGO, IL, 60637-1447
United States | CHICAGO, IL | 773-702-1000 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | tketterhagen217618@myadvocateaurora.org
| No affiliation | DIRECT
Direct
|
| 4440 W 95TH ST,
OAK LAWN, IL, 60453
United States |
FHIR
(FHIR URL) | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
| No affiliation |
|
| 4440 W 95TH ST,
OAK LAWN, IL, 60453
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 4440 W 95th St
Oak Lawn, IL, 60453-2600
United States |
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Business Location:
Patients can refer following map for directions to
Timothy Michael Ketterhagen practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.