Organization
TLC HEALTH & WELLNESS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRAH L CORNELL APRN, FPA (OWNER)
(309) 785-7111
Entity
Organization
Contact information
Practice address
114 S 4TH ST, CUBA, IL 61427-5062
(309) 785-7111
(309) 326-4972
Mailing address
114 S 4TH ST, CUBA, IL 61427-5062
(309) 785-7111
(309) 326-4972
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/10/2020
Last updated
03/02/2021
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