Tantillo, Marc Anthony

Tantillo, Marc Anthony is an individual health care provider with primary practice located at 100 S Atkinson Rd Ste 202 , Grayslake IL 60030-7819. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Tantillo, Marc Anthony can be contacted via phone (847) 548-9425.

Contact Information

Primary practice address
100 S Atkinson Rd Ste 202 Grayslake IL 60030-7819
Fax: (847) 548-9404
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1477827004
LBN Legal business name Tantillo, Marc Anthony
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 29th, 2012
Last updated Feb 29th, 2012 - about 13 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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