Provider Demographics
NPI:1699160010
Name:LEROUX, TIMOTHY SEAN (MD, MED)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:SEAN
Last Name:LEROUX
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Gender:M
Credentials:MD, MED
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Mailing Address - Street 1:1 WESTBROOK CORPORATE CENTER, STE 240
Mailing Address - Street 2:MIDWEST ORTHOPAEDICS AT RUSH, LLC
Mailing Address - City:WESTCHESTER
Mailing Address - State:IL
Mailing Address - Zip Code:60154
Mailing Address - Country:US
Mailing Address - Phone:708-236-2673
Mailing Address - Fax:708-409-5179
Practice Address - Street 1:1611 W. HARRISON ST
Practice Address - Street 2:STE 300
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612
Practice Address - Country:US
Practice Address - Phone:312-432-2300
Practice Address - Fax:708-409-5179
Is Sole Proprietor?:No
Enumeration Date:2015-04-02
Last Update Date:2015-08-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036.137004207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery