Antonio, Tanisha

Antonio, Tanisha is an sole proprietor health care provider with primary practice located at 195 Waukegan Rd Unit 371 , Glenview IL 60025-5186. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Antonio, Tanisha can be contacted via phone (773) 562-2182.

Contact Information

Primary practice address
195 Waukegan Rd Unit 371 Glenview IL 60025-5186
Phone: (773) 562-2182
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209022995 Illinois

Profile Details

NPI number 1528643228
LBN Legal business name Antonio, Tanisha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2021
Last updated Mar 14th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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