Marc Anthony Tantillo

NPI #1477827004 in Grayslake, Illinois

Provider Information

NPI Number: 1477827004
Entity Type: Individual
Name: Marc Anthony Tantillo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Feb 29, 2012
Last Updated: Feb 29, 2012

Practice Location

Address: 100 S ATKINSON RD STE 202
City: Grayslake
State: Illinois
ZIP Code: 60030-7819
Phone: (847) 548-9425

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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