Provider Demographics
NPI:1063465185
Name:IN TOUCH MEDICAL MGMT INC
Entity Type:Organization
Organization Name:IN TOUCH MEDICAL MGMT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-225-0740
Mailing Address - Street 1:554 W TAFT DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH HOLLAND
Mailing Address - State:IL
Mailing Address - Zip Code:60473-2029
Mailing Address - Country:US
Mailing Address - Phone:708-225-0740
Mailing Address - Fax:708-225-0748
Practice Address - Street 1:554 W TAFT DR
Practice Address - Street 2:
Practice Address - City:SOUTH HOLLAND
Practice Address - State:IL
Practice Address - Zip Code:60473-2029
Practice Address - Country:US
Practice Address - Phone:708-225-0740
Practice Address - Fax:708-225-0748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001Medicaid