Provider Demographics
NPI:1194318550
Name:VTCG TELEMEDICINE LLC
Entity type:Organization
Organization Name:VTCG TELEMEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEGHAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:THUMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-344-3498
Mailing Address - Street 1:7144 N HARLEM AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60631-1017
Mailing Address - Country:US
Mailing Address - Phone:312-344-3498
Mailing Address - Fax:
Practice Address - Street 1:7144 N HARLEM AVE STE 105
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60631-1017
Practice Address - Country:US
Practice Address - Phone:312-344-3498
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-17
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management