# TCOM SPECIALTY PHYSICIANS, LLC

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

## Provider details

- **NPI number:** 1144712563
- **Authorized official:** SARAH GARDNER (BUSINESS DIRECTOR)
- **Authorized official phone:** (309) 662-6120

## Contact information

- **Practice address:** 2502 E EMPIRE ST STE B, BLOOMINGTON, IL 61704
- **Practice address phone:** (309) 662-6120
- **Mailing address:** PO BOX 775737, CHICAGO, IL 60677-5737

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 06/01/2018
- **Last updated:** 06/21/2018