Mantanona, Tina Yun

Mantanona, Tina Yun is an individual health care provider with primary practice located at 1475 E Belvidere Rd Unit 385 , Grayslake IL 60030-2026. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mantanona, Tina Yun can be contacted via phone (847) 537-7157.

Contact Information

Primary practice address
1475 E Belvidere Rd Unit 385 Grayslake IL 60030-2026
Phone: (847) 537-7157
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A129087 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036144032 Illinois

Profile Details

NPI number 1922362623
LBN Legal business name Mantanona, Tina Yun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2012
Last updated Jul 21st, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922362623 NPPES
Illinois MEDICAID 1922362623

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