| Tyco Medical Clinic Ltd | |
|
2875 W 19th St Chicago IL 60623-3501 | |
| (773) 484-1000 | |
| Not Available |
| Full Name | Tyco Medical Clinic Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 2875 W 19th St, Chicago, Illinois |
| Authorized Official Name and Position | Tyla Courtney (PRESIDENT) |
| Authorized Official Contact | 7734841000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tyco Medical Clinic Ltd 2875 W 19th St Chicago IL 60623-3501 Ph: (773) 484-1000 | Tyco Medical Clinic Ltd 2875 W 19th St Chicago IL 60623-3501 Ph: (773) 484-1000 |
| NPI Number | 1679708861 |
|---|---|
| Provider Enumeration Date | 05/18/2009 |
| Last Update Date | 05/18/2009 |
| Medicare PECOS PAC ID | 8224188156 |
|---|---|
| Medicare Enrollment ID | O20090615000300 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679708861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036749530 (Illinois) | Primary |
| Provider Name | Tyla Courtney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841329489 PECOS PAC ID: 2567431398 Enrollment ID: I20040929000216 |
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