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

Timothy Whitehead, MD

Individual provider Diagnostic Radiology Physician · NPI 1871752428

Timothy Whitehead, MD is an Interventional Radiology in Peoria, Illinois. Qualified in 2007, 19 years ago. Practices with Gundersen Lutheran Medical Center Inc, a 896-clinician group and accepts Medicare assignment. Licensed in Illinois, Ohio and Wisconsin.

Years since qualifying
19
Licensed in
IL, OH, WI
In the registry since
2008
Specialties on file
4
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

530 NE Glen Oak Ave
Peoria, IL 61637-5429
Phone: (309) 655-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 036-132985 (IL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 35.123822 (OH)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 82252 (WI)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 35.123822 (OH)

Record details

NPI number1871752428
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 7, 2008
Last updated in NPPESOctober 13, 2023
Certification dateOctober 13, 2023
Mailing address111 Oakwood Rd, East Peoria, IL 61611-1853

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL RADIOLOGY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Gundersen Lutheran Medical Center Inc — 896 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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