TAUC IL PC NPI 1407439524

NPI Information

  • NPI: 1407439524
  • Provider Name: TAUC IL, PC
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • Doing Business As: TOTAL ACCESS URGENT CARE
  • CLIA Number: 14D2319159
  • Address: 1103 CENTRAL PARK DR
    O FALLON, IL
    ZIP 62269
  • Phone: (618) 215-5703

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NPI Details

TAUC IL, PC is an urgent care clinic center in O Fallon, IL. TAUC IL, PC NPI is 1407439524. The provider is registered as an organization entity type.
The provider Is Doing Business As Total Access Urgent Care.

The provider's business location address is:

1103 CENTRAL PARK DR
O FALLON, IL
ZIP 62269-770
Phone: (618) 215-5703
Fax: (618) 215-5704

The provider's authorized official is Tyler Terwilliger .
The authorized official title is Senior Credentialing Specialist and has the following contact phone number (636) 556-0114.

The CLIA number assigned to this NPI record is 14D2319159 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/5/2021 and was last updated on 11/6/2024.

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
1261QU0200XClinic/CenterUrgent CareYes

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: 3/30/2025

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