Tca Health Care

LBN: 7739956300
Tca Health Care is an health care organization with primary practice located at 1029 E 130Th St , Chicago IL 60628-6908. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. 7739956300 can be contacted via phone (773) 995-6300, or through Hall, Marquetta D via phone (773) 995-6300.

Contact Information

Primary practice address
1029 E 130Th St Chicago IL 60628-6908
Phone: (773) 995-6300
Fax: (773) 995-6192
Website:
Map and Directions
Authorized official contact:
Name: Hall, Marquetta D CPCS
Phone: (773) 995-6300

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149018713 Illinois

Profile Details

NPI number 1336685494
LBN Legal business name 7739956300
DBA Doing business as Tca Health Care
Authorized official Hall, Marquetta D CPCS
Entity Organization
Organization subpart 1 No
Enumeration date Jan 13th, 2017
Last updated Jan 13th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336685494 NPPES
Illinois Other 149018713 149018713

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