Organization · Type 2 NPI
Tanni Supportive Living
Multi-Specialty Clinic/Center · Waukegan, IL
NPI number
1356925929
Active
Practice location
2698 Belvidere Rd Unit A01B
Waukegan, IL 60085-6006
Fax (224) 252-2997
Mailing address
1800 Nations Dr Ste 115
Gurnee, IL 60031-9171
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
About NPI 1356925929
Tanni Supportive Living's National Provider Identifier is 1356925929, issued on May 10, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Waukegan, IL. The record was last updated on Mar 9, 2026.