National Provider Identifier Database

TLC MEDICAL GROUP SC
Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.


Contact Information

TLC MEDICAL GROUP, S.C.
40W222 LA FOX ROAD
SUITE J1
SAINT CHARLES, IL60175
Phone: 630-513-9160
Fax: 630-513-9617
Website:
Specialty Taxonomy Code
* Gynecology 207VG0400X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for TLC MEDICAL GROUP, S.C.

NPI Number 1487836284
Legal business name
LBN
TLC MEDICAL GROUP, S.C.
Authorized official JONATHAN SONG - (MANAGING PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 12/04/2007
Last updated 01/14/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 03106052
  • IL License #: 036104024
  • IL Other: 4532123 BLUECROSS BLUE SHIELD
  • IL Other: 1851452775 NPI NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for TLC MEDICAL GROUP, S.C.

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