My Tlcare Llc | |
609 Academy Dr Northbrook IL 60062-2420 | |
(847) 537-5555 | |
(847) 537-6005 |
Full Name | My Tlcare Llc |
---|---|
Speciality | Internal Medicine |
Location | 609 Academy Dr, Northbrook, Illinois |
Authorized Official Name and Position | Lisa Anderson (PRESIDENT) |
Authorized Official Contact | 8475375555 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
My Tlcare Llc 609 Academy Dr Northbrook IL 60062-2420 Ph: (847) 537-5555 | My Tlcare Llc 609 Academy Dr Northbrook IL 60062-2420 Ph: (847) 537-5555 |
NPI Number | 1619209749 |
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Provider Enumeration Date | 01/29/2010 |
Last Update Date | 01/29/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619209749 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
208000000X | Pediatrics | (* (Not Available)) | Secondary |
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