Timothy J. Penn, MD
Orthopaedic Surgery · Glen Carbon, IL
UnclaimedMDNPI 1124003439
- Primary taxonomy
- 207X00000X
- Enumerated
- 2005-12-08
- Practice location
- Glen Carbon, IL
- Last NPPES update
- 2015-02-03
State licenses
- IL · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.