Individual provider · Type 1 NPI
Tanisha Antonio
Psychiatric/Mental Health Nurse Practitioner · Glenview, IL
NPI number
1528643228
Active
Practice location
195 Waukegan Rd Unit 371
Glenview, IL 60025-5186
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 209022995 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1528643228
Tanisha Antonio's National Provider Identifier is 1528643228, issued on Mar 14, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Glenview, IL. The record was last updated on Mar 14, 2021.