Provider Demographics
NPI:1326337155
Name:TLC HEALTH SERVICES, SC
Entity Type:Organization
Organization Name:TLC HEALTH SERVICES, SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:630-749-8905
Mailing Address - Street 1:25210 BLAKELY DR
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60585-6750
Mailing Address - Country:US
Mailing Address - Phone:630-749-8905
Mailing Address - Fax:815-733-6293
Practice Address - Street 1:25210 BLAKELY DR
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60585-6750
Practice Address - Country:US
Practice Address - Phone:630-749-8905
Practice Address - Fax:815-733-6293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-01
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041359711251F00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care