Tanni Supportive Living

NPI #1356925929 in Waukegan, Illinois

Provider Information

NPI Number
1356925929
Entity Type
Organization
Organization Name
Tanni Supportive Living
Subpart
Yes (part of a larger organization)
Parent Organization
TANNI SUPPORTIVE LIVING
Primary Specialty
Clinic/Center - Multi-Specialty
Enumeration Date
May 10, 2021
Last Updated
Sep 9, 2022

Practice Location

Address
2698 BELVIDERE RD UNIT A01B
ZIP Code
60085-6006
Phone
(847) 868-3003

Authorized Official

Name
MRS. LINDA A TANNI, AGNP-C
Title
NURSE PRACTITIONER
Phone
(847) 868-3003

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Clinic/Center - Multi-SpecialtyMulti-Specialty

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