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Contact Information

TIMOTHY W DAMROW, DO
395 N LOCUST ST
MANTENO, IL60950
 Phone: 815-468-6870
 Fax: 815-468-8304
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for TIMOTHY W DAMROW · (Male)

NPI # 1225418981
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/08/2015
Last updated 03/22/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036144709
Hospital affiliation(s)
  • RIVERSIDE MEDICAL CENTER - (Acute Care)
    350 N WALL ST
    KANKAKEE, IL 60901
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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