Provider Demographics
NPI:1427373570
Name:TL NURSES
Entity Type:Organization
Organization Name:TL NURSES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OSVALDO
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-244-2080
Mailing Address - Street 1:11965 S AERO DR
Mailing Address - Street 2:11965 S AERO DRIVE
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60585-9757
Mailing Address - Country:US
Mailing Address - Phone:630-244-2080
Mailing Address - Fax:815-230-2710
Practice Address - Street 1:11965 S AERO DR
Practice Address - Street 2:11965 S AERO DRIVE
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60585-9757
Practice Address - Country:US
Practice Address - Phone:630-244-2080
Practice Address - Fax:815-230-2710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-01
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL4000311251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health