| Tanni Supportive Living | |
|
2698 Belvidere Rd Unit A01b Waukegan IL 60085-6006 | |
| (847) 868-3003 | |
| (224) 252-2997 |
| Full Name | Tanni Supportive Living |
|---|---|
| Speciality | Clinic/Center |
| Location | 2698 Belvidere Rd Unit A01b, Waukegan, Illinois |
| Authorized Official Name and Position | Linda Tanni (APRN) |
| Authorized Official Contact | 8478683003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tanni Supportive Living 1800 Nations Dr Ste 115 Gurnee IL 60031-9171 Ph: (847) 868-3003 | Tanni Supportive Living 2698 Belvidere Rd Unit A01b Waukegan IL 60085-6006 Ph: (847) 868-3003 |
| NPI Number | 1356925929 |
|---|---|
| Provider Enumeration Date | 05/10/2021 |
| Last Update Date | 03/09/2026 |
| Medicare PECOS PAC ID | 8224424411 |
|---|---|
| Medicare Enrollment ID | O20220418000175 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356925929 | NPI | - | NPPES |
| 13876593 | Other | IL | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Lawrence Njoh Ngu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114081643 PECOS PAC ID: 0941273916 Enrollment ID: I20040817001289 |
| Provider Name | Linda A Tanni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780063917 PECOS PAC ID: 5698080752 Enrollment ID: I20150818005837 |
Family Health Services S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 935 Glen Flora Ave, Ste 201, Waukegan, IL 60085 Phone: 847-249-3322 Fax: 847-249-3381 | |
Integra Healthcare Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2504 Washington St Ste 102, Waukegan, IL 60085 Phone: 847-623-7590 Fax: 847-623-7591 | |
County Of Lake Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2400 Belvidere Rd, Waukegan, IL 60085 Phone: 847-377-8400 | |
Fkleung, Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2504 Washington St, Suite 102, Waukegan, IL 60085 Phone: 847-623-7590 Fax: 847-623-7591 | |
County Of Lake Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8000 | |
Towee Inpatient Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1324 N Sheridan Rd, Waukegan, IL 60085 Phone: 847-360-3000 | |
Alpesh Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1075 N Green Bay Rd, Waukegan, IL 60085 Phone: 941-315-6194 Fax: 941-209-5322 |