Organization
TOWN AND COUNTRY PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NIL TUNCA (ADMINISTRATOR)
(312) 279-8900
Entity
Organization
Contact information
Practice address
1460 N HALSTED ST STE 402, CHICAGO, IL 60642-2607
(312) 279-8900
(312) 981-6312
Mailing address
1460 N HALSTED ST STE 402, CHICAGO, IL 60642-2607
(312) 279-8900
(312) 981-6312
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D42002840
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000693479-001
UHC
IL
01
—
1616281
BCBS
IL
01
—
5115639
AETNA
IL
Enumeration date
03/26/2007
Last updated
12/06/2012
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