Individual ProviderTimothy SiebachFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address9550 W 167th St, Orland Park, IL 60467-5561(708) 873-4500(847) 390-5900PECOS EnrollmentBased on the most recent information from CMS, provider Timothy Siebach is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1356920565Provider TypeIndividualFull NameSiebach, TimothyTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date4/5/2021Last Updated1/13/2025Contact InformationPractice LocationPractice Address9550 W 167th St, Orland Park, IL 60467-5561Phone(708) 873-4500Fax(708) 679-5354Mailing LocationMailing Address29373 Network Pl, Chicago, IL 60673-1293Phone(847) 390-5900Fax(847) 390-4757Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense036.171945Illinois