Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Timothy J Penn, MD

Individual provider Orthopaedic Surgery Physician · NPI 1124003439

Timothy J Penn, MD is an Orthopaedic Surgery Physician in Glen Carbon, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4802 S State Route 159
Glen Carbon, IL 62034-1904
Phone: (618) 288-4388
Fax: (618) 288-4927
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 036092240 (IL)

Record details

NPI number1124003439
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 8, 2005
Last updated in NPPESFebruary 3, 2015
Mailing address4802 S State Route 159, Glen Carbon, IL 62034-1904

Other providers in Glen Carbon