Individual
TANESHA SHANAE' SADIE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(847) 688-1900
Mailing address
PO BOX 1238, NORTH CHICAGO, IL 60064-8238
(312) 966-7510
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.129794
IL
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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