Shela Tan-urdaneta, is a
Registered Nurse - Home Health based in Lake Villa, Illinois. Shela Tan-urdaneta is licensed to practice in Illinois (license number 041363370) and her current practice location is
1177 Pine Tree Ct, Lake Villa, Illinois. She can be reached at her office (for appointments etc.) via phone at
(773) 997-4917.
NPI number for Shela Tan-urdaneta is 1306776539 and her current mailing address is 1177 Pine Tree Ct, Lake Villa, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306776539.
Provider's Profile
| Full Name | Shela Tan-urdaneta |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse - Home Health |
|---|
| Location | 1177 Pine Tree Ct, Lake Villa, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1306776539
- Provider Enumeration Date: 05/20/2026
- Last Update Date: 05/20/2026
Medical Identifiers
Medical identifiers for Shela Tan-urdaneta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1306776539 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163WH0200X | Registered Nurse - Home Health | 041363370 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shela Tan-urdaneta is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Shela Tan-urdaneta, 1177 Pine Tree Ct, Lake Villa, IL 60046-8648 Ph: (773) 997-4917 | Shela Tan-urdaneta, 1177 Pine Tree Ct, Lake Villa, IL 60046-8648 Ph: (773) 997-4917 |
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