Individual
JANINE TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1141 E MAIN ST STE 105, EAST DUNDEE, IL 60118-2440
(847) 428-3322
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
041190485
IL
363LF0000X
Family Nurse Practitioner
209007562
IL
Other
Enumeration date
06/01/2009
Last updated
03/05/2020
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