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Contact Information

TIMOTHY S SMITH, DO
1025 MAINE ST
QUINCY, IL62301-4038
 Phone: 217-222-6550
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
 

Undersea and Hyperbaric Medicine

207PE0005X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for TIMOTHY S SMITH · (Male)

NPI Number 1144293929
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 02/10/2006
Last updated 04/04/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036093943
  • IL Medicaid 036093943
Hospital affiliation(s)
  • BLESSING HOSPITAL - (Acute Care)
    BROADWAY AT 11TH STREET
    QUINCY, IL 62301
  • ILLINI COMMUNITY HOSPITAL - (Critical Access)
    640 W WASHINGTON
    PITTSFIELD, IL 62363
  • MEMORIAL HOSPITAL - (Critical Access)
    SOUTH ADAMS ST, PO BOX 160
    CARTHAGE, IL 62321
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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