Organization · Type 2 NPI
Tri County Medical LLC
Ambulatory Surgical Clinic/Center · Kenosha, WI
NPI number
1588041008
Active
Practice location
7611 Pershing Blvd
Kenosha, WI 53142-4317
Mailing address
4310 W Crystal Lake Rd, Suite F
Mchenry, IL 60050-4214
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1588041008
Tri County Medical LLC's National Provider Identifier is 1588041008, issued on May 5, 2015. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Kenosha, WI. The record was last updated on May 5, 2015.