Organization
VIC T. TSAI, M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIC TSAI M.D. (PRESIDENT)
(815) 729-9527
Entity
Organization
Contact information
Practice address
823 129TH INFANTRY DR STE 103, JOLIET, IL 60435-8347
(815) 729-9527
(815) 729-9530
Mailing address
823 129TH INFANTRY DR STE 103, JOLIET, IL 60435-8347
(815) 729-9527
(815) 729-9530
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009915030
BLUE CROSS & BLUE SHIELD#
IL
Enumeration date
08/04/2006
Last updated
08/22/2020
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