TLC Medical Group, S.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036104024 Issued in IL

Legal business name

TLC MEDICAL GROUP, S.C.

Practice address

2455 Dean St
Suite a
Saint Charles, IL 60175-4830

Phone

(630) 513-9160

Fax

(630) 513-9617

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Esther Im Kay

Title

Practice Manager

Phone

(630) 513-9160

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• TLC Womens Health, S.C./TLC Pediatrics, S.C. Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathy Seskiewicz, M.D.

  • Pediatrics Physician
  • Lake in the Hills, IL
  • NPI 1134186406
  NPD (past)
• Gina K. Song, M.D.

  • Pediatrics Physician
  • St Charles, IL
  • NPI 1386642445
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1649334186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 DEAN ST",
            "address_2": "SUITE A",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601754830",
            "telephone_number": "630-513-9160",
            "fax_number": "630-513-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 DEAN ST",
            "address_2": "SUITE A",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601754830",
            "telephone_number": "630-513-9160",
            "fax_number": "630-513-9617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC MEDICAL GROUP, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "KAY",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_middle_name": "IM",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "630-513-9160"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036106052",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036104024",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036121171",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36104024",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4532123",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLC Womens Health, S.C./TLC Pediatrics, S.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timothy W. Sheehan,LTD.
• Logan Tinsley
• Steven Tirabasso, D.C.
• Sheila M Tito
• TLC Medical Group, S.C.
• TMJ and Sleep Therapy Centre of Chicago LLC
• TMS Ventures LLC
• Karissa Samara Tobey, MA, LCPC
• Paulette C. Toburen, PSY.D.
• Todd Hewell III MD LTD

• Pediatrics Physician in Saint Charles, IL
• Providers in Saint Charles, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; 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.