Tague, Anne Elizabeth

Tague, Anne Elizabeth is an individual health care provider with primary practice located at 25 N Winfield Rd , Winfield IL 60190-1295. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Tague, Anne Elizabeth can be contacted via phone (630) 933-4700.

Contact Information

Primary practice address
25 N Winfield Rd Winfield IL 60190-1295
Phone: (630) 933-4700
Fax: (630) 933-4427
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209006006 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 209006006 Illinois

Profile Details

NPI number 1255521308
LBN Legal business name Tague, Anne Elizabeth
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2007
Last updated Feb 24th, 2015 - about 9 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 1255521308 NPPES
Illinois Other 206147 MEDICARE PTAN (GROUP)
Illinois Other CA4748 MEDICARE PTAN (GROUP)
Illinois Other P01398559 MEDICARE PTAN (GROUP)
Illinois Other 206147129 MEDICARE PTAN (GROUP)

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