| Tca Health Care | |
|
1030 E. 130th St Chicago IL 60628 | |
| (773) 995-1462 | |
| (773) 995-7985 |
| Full Name | Tca Health Care |
|---|---|
| Speciality | Clinic/center |
| Location | 1030 E. 130th St, Chicago, Illinois |
| Authorized Official Name and Position | Marquetta D Hall (BILLING SPECIALIST) |
| Authorized Official Contact | 7088567556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tca Health Care 1029 E 130th St Chicago IL 60628-6908 Ph: (773) 995-1462 | Tca Health Care 1030 E. 130th St Chicago IL 60628 Ph: (773) 995-1462 |
| NPI Number | 1659821221 |
|---|---|
| Provider Enumeration Date | 10/07/2016 |
| Last Update Date | 10/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659821221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1578936696 (Illinois) | Primary |
| 1223D0001X | Dentist - Dental Public Health | 1588701452 (Illinois) | Secondary |
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