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TLC MEDICAL GROUP S.C. NPI 1487836284


NPI Information

NPI: 1487836284
Provider Name: TLC MEDICAL GROUP, S.C.

Doing Business As: TLC WOMEN'S HEALTH S.C.

Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

Address:
40W222 LA FOX ROAD
SUITE J1
SAINT CHARLES, IL
ZIP 60175
Phone: (630) 513-9160
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TLC MEDICAL GROUP, S.C. is a gynecology obstetrics gynecology in Saint Charles, IL. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee TLC MEDICAL GROUP, S.C. NPI is 1487836284. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Tlc Women's Health S.c..

The provider's business location address is:

40W222 LA FOX ROAD
SUITE J1
SAINT CHARLES, IL
ZIP 60175
Phone: (630) 513-9160
Fax: (630) 513-9617

The provider's authorized official is Jonathan Song .
The authorized official title is Managing Physician and has the following contact phone number (630) 513-9160.

The enumeration date for this NPI number is 12/4/2007 and was last updated on 1/14/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VG0400XObstetrics & GynecologyGynecology03106052ILLINOISYes
2208000000XPediatrics036104024ILLINOISNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11851452775OTHERILLINOISNPI NUMBER
24532123OTHERILLINOISBLUECROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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