MEDICARE: TL NURSES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	4000311	IL

General Provider Information

NPI Number	:	1427373570
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TL NURSES

Provider Business Mailing Address
First Line	:	11965 S AERO DR
Second Line	:	11965 S AERO DRIVE
City	:	PLAINFIELD
State	:	IL
Zip	:	60585-9757
Country	:	US
Telephone Number	:	630-244-2080
Fax Number	:	815-230-2710

Provider Business Practice Location Address
First Line	:	11965 S AERO DR
Second Line	:	11965 S AERO DRIVE
City	:	PLAINFIELD
State	:	IL
Zip	:	60585-9757
Country	:	US
Telephone Number	:	630-244-2080
Fax Number	:	815-230-2710

Authorized Official
Title or Position	:	OWNER
Name	:	OSVALDO LOPEZ
Credential	:
Telephone Number	:	630-244-2080

Provider Enumeration Date	:	04/01/2010
Last Update Date	:	01/04/2012

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