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Organization
MY TLCARE LLC
Active
Organization
MY TLCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA ANDERSON RN (PRESIDENT)
(847) 537-5555
Entity
Organization
Contact information
Practice address
609 ACADEMY DR, NORTHBROOK, IL 60062-2420
(847) 537-5555
(847) 537-6005
Mailing address
609 ACADEMY DR, NORTHBROOK, IL 60062-2420
(847) 537-5555
(847) 537-6005
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
01/29/2010
Last updated
01/29/2010
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