Individual provider · Type 1 NPI

Shela Tan-Urdaneta

Home Health Registered Nurse · Lake Villa, IL

NPI number 1306776539 Active

Practice location

1177 Pine Tree Ct
Lake Villa, IL 60046-8648

Call (773) 997-4917 Map

Fax (773) 901-3075

Specialties and licenses

TaxonomyCodeLicense
Home Health Registered Nurse Primary 163WH0200X041363370 (IL)

Home Health Registered Nurse: Definition to come...

About NPI 1306776539

Shela Tan-Urdaneta's National Provider Identifier is 1306776539, issued on May 20, 2026. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Lake Villa, IL. The record was last updated on May 20, 2026.