Individual provider · Type 1 NPI

Timothy Daugherty, MD

Plastic and Reconstructive Surgery Physician · Springfield, IL

NPI number 1780066738 Active

Practice location

747 N Rutledge St Fl 3
Springfield, IL 62702-6700

Call (217) 545-8000 Map

Fax (217) 545-2588

Mailing address

PO Box 19639
Springfield, IL 62794-9639

Other practice locations

  • 747 N Rutledge St Fl 2, Springfield, IL 62702-6700 · (217) 545-8000

Specialties and licenses

TaxonomyCodeLicense
Plastic and Reconstructive Surgery Physician Primary 2086S0122X036.160543 (IL)
Plastic and Reconstructive Surgery Physician 2086S0122X125.066594 (IL)

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

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About NPI 1780066738

Timothy Daugherty, MD's National Provider Identifier is 1780066738, issued on Jun 26, 2015. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Springfield, IL. The record was last updated on Jan 29, 2024.