Provider Demographics
NPI:1639591688
Name:TOC LLC
Entity Type:Organization
Organization Name:TOC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SAL
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRIGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-720-4310
Mailing Address - Street 1:2005 JACOBSSEN DR STE A
Mailing Address - Street 2:
Mailing Address - City:NORMAL
Mailing Address - State:IL
Mailing Address - Zip Code:61761-6288
Mailing Address - Country:US
Mailing Address - Phone:847-720-4310
Mailing Address - Fax:847-720-4796
Practice Address - Street 1:2005 JACOBSSEN DR. SUITE A
Practice Address - Street 2:
Practice Address - City:NORMAL
Practice Address - State:IL
Practice Address - Zip Code:61761
Practice Address - Country:US
Practice Address - Phone:847-720-4310
Practice Address - Fax:847-720-4796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-10
Last Update Date:2014-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies