Tanzillo, Tanya

Tanzillo, Tanya is an individual health care provider with primary practice located at 2507 N Richmond Rd , Mchenry IL 60051. 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 / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Tanzillo, Tanya can be contacted via phone (815) 338-6600.

Contact Information

Primary practice address
2507 N Richmond Rd Mchenry IL 60051
Phone: (815) 338-6600
Fax: (815) 759-4078
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209005985 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209005985 Illinois

Profile Details

NPI number 1114032802
LBN Legal business name Tanzillo, Tanya
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Oct 22nd, 2018 - about 6 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 1114032802 NPPES
Illinois Other 209005985 STATE LICENSE

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