Individual
MRS. TANYA PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IL ECRN, PEL
Contact information
Practice address
33661 N ROYAL OAK LN APT 208, GRAYSLAKE, IL 60030-2810
(847) 752-8881
(847) 628-2321
Mailing address
PO BOX 8412, GURNEE, IL 60031-7015
(224) 480-7795
(847) 628-2321
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.344115
IL
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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