DR. Tashanna Gillenwater, ED.D

NPI #1831885292 in Matteson, Illinois

Provider Information

NPI Number: 1831885292
Entity Type: Individual
Name: DR. Tashanna Gillenwater, ED.D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Health Educator
Credential: ED.D
Enumeration Date: Apr 17, 2023
Last Updated: May 5, 2023

Practice Location

Address: 3818 216TH PL
City: Matteson
State: Illinois
ZIP Code: 60443-2725
Phone: (773) 269-0301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist	133N00000X
Health & Wellness Coach	171400000X
Health Educator	174H00000X	Primary

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