Organization
TCA HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA CLARKE (CEO)
(773) 995-1587
Entity
Organization
Contact information
Practice address
1029 E 130TH ST, CHICAGO, IL 60628-6908
(773) 995-1587
Mailing address
1029 E 130TH ST, CHICAGO, IL 60628-6908
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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