TANISHA ANTONIO

GLENVIEW, IL
NPI1528643228
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL  209022995)
Enumeration Date2021-03-14
Last Update Date2021-03-14
Business Address
TANISHA ANTONIO
195 WAUKEGAN RD UNIT 371
GLENVIEW, IL 60025-5186
Phone number: 773-562-2182
Mailing Address
TANISHA ANTONIO
195 WAUKEGAN RD UNIT 371
GLENVIEW, IL 60025-5186
Phone number: 773-562-2182
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