Healthcare Provider Details
I. General information
NPI: 1013831015
Provider Name (Legal Business Name): TECS IL PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2833 N NORDICA AVE
CHICAGO IL
60634-4726
US
IV. Provider business mailing address
18312 MIDDLEBELT RD
LIVONIA MI
48152-5007
US
V. Phone/Fax
- Phone: 224-777-8045
- Fax:
- Phone: 224-777-8045
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208100000X |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JEFF
PIERCE
Title or Position: PRESIDENT
Credential: DO
Phone: 224-777-8045