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TLC MEDICAL GROUP S.C. NPI 1649334186


NPI Information

NPI: 1649334186
Provider Name: TLC MEDICAL GROUP, S.C.

Doing Business As: TLC WOMENS HEALTH, S.C./TLC PEDIATRICS, S.C.

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
2455 DEAN ST
SUITE A
SAINT CHARLES, IL
ZIP 60175
Phone: (630) 513-9160
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TLC MEDICAL GROUP, S.C. is a pediatrics in Saint Charles, IL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. TLC MEDICAL GROUP, S.C. NPI is 1649334186. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Tlc Womens Health, S.c./tlc Pediatrics, S.c..

The provider's business location address is:

2455 DEAN ST
SUITE A
SAINT CHARLES, IL
ZIP 60175-830
Phone: (630) 513-9160
Fax: (630) 513-9617

The provider's authorized official is Esther Im Kay .
The authorized official title is Practice Manager and has the following contact phone number (630) 513-9160.

The enumeration date for this NPI number is 12/20/2006 and was last updated on 12/28/2009.


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
1207V00000XObstetrics & Gynecology036106052ILLINOISNo
2208000000XPediatrics036121171ILLINOISNo
3208000000XPediatrics036104024ILLINOISYes

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
14532123OTHERILLINOISBCBS
2207006MEDICARE PINILLINOIS
336104024MEDICAIDILLINOIS

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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