Timothy Stead
Timothy Stead is a Nurse Practitioner in Clinton, Illinois. Qualified in 2001, 25 years ago. Practices with St Mary Medical Center, a 51-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 25
- Licensed in
- IL
- In the registry since
- 2006
Practice location Address checks out
1231 Kleemann DrClinton, IL 61727-2633
Phone: (217) 935-5022
Fax: (217) 935-9592
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 041239025/209004999 (IL) |
|---|
Record details
| NPI number | 1346340973 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 24, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 1231 Kleemann Dr, Clinton, IL 61727-2633 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2001 (25 years in practice) |
| Group practice | St Mary Medical Center — 51 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |