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Organization
TLC THERAPY, LTD.
Active
Organization
TLC THERAPY, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY LEE CIENKUS CCC/SLP (PRESIDENT)
(815) 546-1838
Entity
Organization
Contact information
Practice address
12843 BRADFORD LANE, PLAINFIELD, IL 60585-2245
(815) 546-1838
(815) 609-3739
Mailing address
12843 BRADFORD LANE, PLAINFIELD, IL 60585-2245
(815) 546-1838
(815) 609-3739
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9932132
BLUE CROSS/BLUE SHIELD ID
IL
Enumeration date
10/02/2006
Last updated
08/22/2020
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