Active NPI
My Tlcare LLC
- Internal Medicine Physician
- Northbrook, IL
National Provider Identifier
1619209749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MY TLCARE LLC
- Practice address
- 609 Academy Dr
Northbrook, IL 60062-2420 - Phone
- (847) 537-5555
- Fax
- (847) 537-6005
- NPI assigned
- Jan 29, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Lisa Anderson, RN
- Title
- President
- Phone
- (847) 537-5555
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Pediatrics Physician | 208000000X |
Addresses
Primary practice location
609 Academy Dr
Northbrook, IL 60062-2420
Mailing address
609 Academy Dr
Northbrook, IL 60062-2420
Phone (847) 537-5555
National Provider Directory
National Provider DirectoryLocations
3357 Commercial Ave
Northbrook, IL 60062
Phone (847) 537-5555
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- Northbrook, IL
- NPI 1013396381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264723200000",
"number": "1619209749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 ACADEMY DR",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622420",
"telephone_number": "847-537-5555",
"fax_number": "847-537-6005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 ACADEMY DR",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622420",
"telephone_number": "847-537-5555",
"fax_number": "847-537-6005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY TLCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-29",
"last_updated": "2010-01-29",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-537-5555",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.