Provider Demographics
NPI:1396037578
Name:TASC, INC
Entity Type:Organization
Organization Name:TASC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROY
Authorized Official - Middle Name:
Authorized Official - Last Name:FESMIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-573-8271
Mailing Address - Street 1:1500 N HALSTED ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60642-2517
Mailing Address - Country:US
Mailing Address - Phone:312-787-0802
Mailing Address - Fax:312-787-9663
Practice Address - Street 1:1500 N HALSTED ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60642-2517
Practice Address - Country:US
Practice Address - Phone:312-787-0802
Practice Address - Fax:312-787-9663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-06
Last Update Date:2011-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251X00000XAgenciesSupports Brokerage