Tkoz Holdings LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

TKOZ HOLDINGS LLC

Practice address

2928 N Broadway St
Chicago, IL 60657-5302

Phone

(224) 766-1100

NPI assigned

Feb 24, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Taha Khan

Title

Manager

Phone

(224) 766-1100

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1275289571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 N CLARENDON AVE APT 518",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606136509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2928 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575302",
            "telephone_number": "224-766-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TKOZ HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "TAHA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "224-766-1100"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah Tkachenko, LMT
• Joanna Tkacz, AGENT
• Evan Tkaczyk, PA-C
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• Sylvia Tkalitch, PT
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• Clinical Medical Laboratory in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.