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NPI Code Detail

MEDICARE: TLC VC, LLC

MEDICARE: TLC VC, LLC
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
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1427257658
Entity Type Code : Organization
Provider Name (Legal Business Name) : TLC VC, LLC
Provider Business Mailing Address
First Line : 16305 SWINGLEY RIDGE RD
Second Line : STE. 300
City : CHESTERFIELD
State : MO
Zip : 63017-1777
Country : US
Telephone Number : 636-534-2300
Fax Number : 636-489-0206
Provider Business Practice Location Address
First Line : 1500 W SHURE DR
Second Line : SUITE 125
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-1443
Country : US
Telephone Number : 847-305-1277
Fax Number :
Authorized Official
Title or Position : SECRETARY
Name : BRIAN L ANDREW
Credential :
Telephone Number : 636-534-2300
Provider Enumeration Date : 07/17/2007
Last Update Date : 07/17/2007

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