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Contact Information

TCA HEALTH CARE
1030 E. 130TH ST
CHICAGO, IL60628
 Phone: 773-995-1462
 Fax: 773-995-7985
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic/Center

261Q00000X
 

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for TCA HEALTH CARE

NPI # 1659821221
LBN Legal business name TCA HEALTH CARE
Authorized official MARQUETTA HALL - (BILLING SPECIALIST)
Entity Organization
Organization subpart 1 No
Enumeration date 10/07/2016
Last updated 10/07/2016 - About 10 years ago
Identifiers
IL License # 1578936696
IL License # 1588701452
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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