Provider Demographics
NPI:1346355260
Name:FIOR, TIMOTHY WILLIAM (MD)
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:WILLIAM
Last Name:FIOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 S BLOOMINGDALE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60108-1470
Mailing Address - Country:US
Mailing Address - Phone:630-792-9311
Mailing Address - Fax:630-792-9316
Practice Address - Street 1:170 S BLOOMINGDALE RD STE 200
Practice Address - Street 2:
Practice Address - City:BLOOMINGDALE
Practice Address - State:IL
Practice Address - Zip Code:60108-1470
Practice Address - Country:US
Practice Address - Phone:630-792-9311
Practice Address - Fax:630-792-9316
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-076944207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILL55847Medicare ID - Type Unspecified
A77994Medicare UPIN