# THVC SERVICES OF IL, S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053196444
- **Authorized official:** JONATHAN PANGIA DO (OWNER/PRESIDENT)
- **Authorized official phone:** (865) 693-1000

## Contact information

- **Practice address:** 1 WESTBROOK CORPORATE CTR STE 300, WESTCHESTER, IL 60154-5709
- **Practice address phone:** (865) 693-1000
- **Mailing address:** 265 BROOKVIEW CENTRE WAY STE 203, KNOXVILLE, TN 37919-4052
- **Mailing address phone:** (865) 693-1000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/25/2023
- **Last updated:** 08/25/2023