Timothy Lyman, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

336029683 Issued in IL

Practice address

Resurrection Immediate Care Center
7230 W. North Ave Ste 106 B
Elmwood Park, IL 60707-4262

Phone

(708) 453-3000

Fax

(708) 453-4660

NPI assigned

Jul 5, 2006

Last updated

Mar 22, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: timothy.lyman.1@380.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Presence Healthcare Services

  dba Presence Medical Group

  • Multi-Specialty Clinic/Center
  • Elk Grove Village, IL
  • NPI 1932216819
  NPD (past)
• Resurrection Services

  dba RES-Health Advanced Imaging Center

  • Radiology Clinic/Center
  • River Forest, IL
  • NPI 1104940329
  NPD (past)
• Resurrection Services

  dba Resurrection Immediate Care Center Des Plaines

  • Multi-Specialty Clinic/Center
  • Des Plaines, IL
  • NPI 1710907456
  NPD (past)
• West Suburban Hospital Medical Center

  dba West Suburban Skilled Nursing Unit

  • Skilled Nursing Facility
  • Oak Park, IL
  • NPI 1538206974
  NPD (past)
• West Suburban Medical Center

  dba West Suburban Health Care Physicians SVCS

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1649499096

  Internal Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1659302263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 S MICHIGAN AVE",
            "address_2": "4104",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052521",
            "telephone_number": "312-427-6093",
            "fax_number": "708-453-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RESURRECTION IMMEDIATE CARE CENTER",
            "address_2": "7230 W. NORTH AVE STE 106 B",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607074262",
            "telephone_number": "708-453-3000",
            "fax_number": "708-453-4660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1339 W Lake St",
            "address_purpose": "LOCATION",
            "city": "Addison",
            "state": "IL",
            "postal_code": "601011836",
            "country_code": "US",
            "telephone_number": "630-930-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYMAN",
        "first_name": "TIMOTHY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "336029683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036065300",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "1619414",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "timothy.lyman.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1339 W Lake St",
            "city": "Addison",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601011836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Luis A Lim, PT
• Sarah Linder, OTR/L
• Susan Marie Locke, M.D.
• Loretta de Koster,O.D. Inc. (Melrose Eyecare Center)
• Anuela Lule, PHARMD
• Suzanne Edita Maier, M.S.
• Malgorzata Elzieta Malkowski
• Luma Ali Mallah
• Lori Marchi
• Bernadetta Martin, LMT

• Internal Medicine Physician in Elmwood Park, IL
• Providers in Elmwood Park, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.