Timothy Robert Ladewig
Timothy Robert Ladewig is a Student in an Organized Health Care Education/Training Program in Palos Heights, Illinois. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
50 Carriage TrlPalos Heights, IL 60463-1222
Phone: (708) 541-8937
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1780399147 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 20, 2023 |
| Last updated in NPPES | January 20, 2023 |
| Certification date | January 19, 2023 |
| Mailing address | 50 Carriage Trl, Palos Heights, IL 60463-1222 |
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