Tlc Of Southern & Central Illinois Inc. is a
Physical Therapy Assistant based in Carterville, Illinois. Tlc Of Southern & Central Illinois Inc. is licensed to practice in Illinois (license number ) and their current practice location is
1703 Poteete, Carterville, Illinois. It can be reached at their office (for appointments etc.) via phone at
(618) 985-2181.
NPI number for Tlc Of Southern & Central Illinois Inc. is 1245332568 and their current mailing address is Po Box 364, Carterville, Illinois. Tlc Of Southern & Central Illinois Inc.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1245332568.
Healthcare Provider's Profile
| Full Name | Tlc Of Southern & Central Illinois Inc. |
|---|
| Type | Facility |
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| Speciality | Physical Therapy Assistant |
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| Location | 1703 Poteete, Carterville, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1245332568
- Provider Enumeration Date: 09/05/2006
- Last Update Date: 09/11/2025
Medical Identifiers
Medical identifiers for Tlc Of Southern & Central Illinois Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245332568 | NPI | - | NPPES |
| 361020501001 | Medicaid | IL | |
| 491465822001 | Medicaid | IL | |
| 306044412001 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (Illinois) | Secondary |
| 235Z00000X | Speech-language Pathologist | (Illinois) | Secondary |
| 235Z00000X | Speech-language Pathologist | (Illinois) | Secondary |
| 225200000X | Physical Therapy Assistant | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tlc Of Southern & Central Illinois Inc. is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tlc Of Southern & Central Illinois Inc.
Po Box 364,
Carterville, IL 62918-0364
Ph: (618) 985-2181 | Tlc Of Southern & Central Illinois Inc.
1703 Poteete,
Carterville, IL 62918-0364
Ph: (618) 985-2181 |
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