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Tanisha Antonio
Psychiatric/Mental Health Nurse Practitioner in Glenview, Illinois
NPI 1528643228

Tanisha Antonio is a Psychiatric/Mental Health Nurse Practitioner based in Glenview, IL and is specialized in Psychiatric/Mental Health. Tanisha Antonio practices in Glenview, IL. The NPI Number for Tanisha Antonio is 1528643228 and holds a License No. 209022995 (Illinois).

The current practice location address for Tanisha Antonio is 195 Waukegan Rd Unit 371, Glenview, IL and can be reached out via phone at 773-562-2182.

Location: 195 Waukegan Rd Unit 371, Glenview, IL, 60025-5186
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528643228
Provider Name
Tanisha Antonio
Credential
Provider Entity Type
Individual
Gender
Female
Address
195 Waukegan Rd Unit 371, Glenview, IL, 60025-5186
Phone Number
773-562-2182
Fax Number
Provider Enumeration Date
03/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
195 Waukegan Rd Unit 371
City
Glenview
State
Illinois
Zip
60025-5186
Phone Number
773-562-2182
Fax Number
person
Provider Business Mailing Address Details
Address
195 Waukegan Rd Unit 371
City
Glenview
State
Illinois
Zip
60025-5186
Phone Number
773-562-2182
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
209022995 (Illinois)
Definition
Definition to come...
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