Individual ProviderTimothy L BollingerEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address3922 Mercy Dr, Mchenry, IL 60050-3179(815) 578-2020PECOS EnrollmentBased on the most recent information from CMS, provider Timothy L Bollinger does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1629013313Provider TypeIndividualFull NameBollinger, Timothy LTitleDr.CredentialDOGenderMaleSole ProprietorNoEnumeration Date6/18/2006Last Updated10/21/2013Contact InformationPractice LocationPractice Address3922 Mercy Dr, Mchenry, IL 60050-3179Phone(815) 578-2020Fax(815) 344-4779Mailing LocationMailing Address3922 Mercy Dr, Mchenry, IL 60050-3179Phone(815) 578-2020Fax(815) 344-4779Provider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense036106882IllinoisCode207P00000XDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense52526-21WisconsinProvider IdentifiersIDDescriptionIssuerIDBOLLITIMDescriptionOtherIssuerMERCYCARE INSURANCEWisconsin