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Organization

TAUC IL, PC

Active
Parent organization
TAUC IL, PC
Other names
Total Access Urgent Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
TAUC IL, PC
Authorized official
TYLER TERWILLIGER (SENIOR CREDENTIALING SPECIALIST)
(636) 556-0114
Entity
Organization

Contact information

Practice address
1103 CENTRAL PARK DR, O FALLON, IL 62269-1770
(618) 215-5703
(618) 215-5704
Mailing address
13861 MANCHESTER RD, BALLWIN, MO 63011-4503
(314) 238-4660
(314) 270-3694

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary

Other

Enumeration date
05/05/2021
Last updated
11/06/2024
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