Gillenwater, Tashanna

Gillenwater, Tashanna is an individual health care provider with primary practice located at 3818 216Th Pl , Matteson IL 60443-2725. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Other Service Providers / Health Educator. Other Service Providers / Health Educator is her primary health care specialty. Gillenwater, Tashanna can be contacted via phone (773) 269-0301.

Contact Information

Primary practice address
3818 216Th Pl Matteson IL 60443-2725
Phone: (773) 269-0301
Fax: (708) 964-2178
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 3020440 Illinois
Other Service Providers / Health Educator 174H00000X 340416 Illinois

Profile Details

NPI number 1831885292
LBN Legal business name Gillenwater, Tashanna
Credentials ED.D
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2023
Last updated May 5th, 2023 - about 2 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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