My Tlcare LLC

NPI #1619209749 in Northbrook, Illinois

Provider Information

NPI Number: 1619209749
Entity Type: Organization
Organization Name: My Tlcare LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jan 29, 2010
Last Updated: Jan 29, 2010

Practice Location

Address: 609 ACADEMY DR
City: Northbrook
State: Illinois
ZIP Code: 60062-2420
Phone: (847) 537-5555

Authorized Official

Name: MS. LISA ANDERSON, RN
Title: PRESIDENT
Phone: (847) 537-5555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Pediatrics	208000000X
Internal Medicine	207R00000X	Primary

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