Individual provider · Type 1 NPI

Marc Anthony Tantillo

Mental Health Counselor · Grayslake, IL

NPI number 1477827004 Active

Practice location

100 S Atkinson Rd Ste 202
Grayslake, IL 60030-7819

Call (847) 548-9425 Map

Fax (847) 548-9404

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1477827004

Marc Anthony Tantillo's National Provider Identifier is 1477827004, issued on Feb 29, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grayslake, IL. The record was last updated on Feb 29, 2012.