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TLC PEDIATRICS LTS NPI 1326106246


NPI Information

NPI: 1326106246
Provider Name: TLC PEDIATRICS LTS
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
4600 MEMORIAL DR
STE 280
BELLEVILLE, IL
ZIP 62226
Phone: (618) 257-9814
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TLC PEDIATRICS LTS is a pediatrics in Belleville, IL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. TLC PEDIATRICS LTS NPI is 1326106246. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4600 MEMORIAL DR
STE 280
BELLEVILLE, IL
ZIP 62226-366
Phone: (618) 257-9814
Fax: (618) 257-9802

The provider's authorized official is Stacie Sharon Laff .
The authorized official title is President and has the following contact phone number (618) 257-9814.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 12/2/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics036092496ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
108232033OTHERBCBS OF IL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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