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Dr. Timothy Daugherty, MD
Plastic and Reconstructive Surgery Physician in Springfield, Illinois
NPI 1780066738

Timothy Daugherty is a Plastic and Reconstructive Surgery Physician based in Springfield, IL and is specialized in Plastic and Reconstructive Surgery. Timothy Daugherty practices in Springfield, IL and has the professional credentials of MD. The NPI Number for Timothy Daugherty is 1780066738 and holds a License No. 036.160543 (Illinois).

The current practice location address for Timothy Daugherty is 747 N Rutledge St Fl 3, Springfield, IL and can be reached out via phone at 217-545-8000 and via fax at 217-545-2588. You can also correspond with Timothy Daugherty through the mailing address at PO BOX 19639, SPRINGFIELD, IL - 62794-9639 (mailing address contact number: 217-545-8000).

Location: 747 N Rutledge St Fl 3, Springfield, IL, 62794-9639
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Provider Profile Details
NPI Number
1780066738
Provider Name
Timothy Daugherty
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
747 N Rutledge St Fl 3, Springfield, IL, 62794-9639
Phone Number
217-545-8000
Fax Number
217-545-2588
Provider Enumeration Date
06/26/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
125066594 05 IL
institution
Provider Business Practice Location Address Details
Address
747 N Rutledge St Fl 3
City
State
Zip
62702-6700
Phone Number
217-545-8000
Fax Number
217-545-2588
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Provider Business Mailing Address Details
Address
Po Box 19639
City
State
Zip
62794-9639
Phone Number
217-545-8000
Fax Number
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Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
036.160543 (Illinois)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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