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Contact Information

TANYA TANZILLO, CNP
2507 N RICHMOND RD
MCHENRY, IL60051
 Phone: 815-338-6600
 Fax: 815-759-4078
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TANYA TANZILLO · (Female)

NPI Number 1114032802
Status Active
Credentials CNP (Certified Nurse Practitioner)
Entity Individual
Enumeration date 08/20/2006
Last updated 10/22/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 209005985
  • IL Other 209005985 STATE LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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