Organization · Type 2 NPI

TLC Medical Group, S.c.

Gynecology Physician · St. Charles, IL

NPI number 1487836284 Active

Practice location

40W222 La Fox Road, Suite J1
St. Charles, IL 60175

Fax (630) 513-9617

Specialties and licenses

Taxonomy	Code	License
Gynecology Physician Primary	207VG0400X	03106052 (IL)
Pediatrics Physician	208000000X	036104024 (IL)

Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

Another provider at this address

Healthguard Medical Network SCPediatric Adolescent Medicine Physician St. Charles, IL NPI 1831280783

Other gynecology physician providers in St. Charles

See all in St. Charles →

NPI record

NPI: 1487836284
Entity type: Organization (Type 2)
Issued: Dec 4, 2007
Last updated: Jan 14, 2019
Status: Active

Other names

<unavail>
TLC Women's Health S.c. · doing business as
TLC Women's Health S.c. · doing business as

Authorized official

Dr. Jonathan Song
Managing Physician
(630) 513-9160

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1487836284

TLC Medical Group, S.c.'s National Provider Identifier is 1487836284, issued on Dec 4, 2007. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in St. Charles, IL. The record was last updated on Jan 14, 2019.