Individual
TANYA L MYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9030 KENNEDY DR, DES PLAINES, IL 60016-4918
(847) 250-7344
Mailing address
9114 WAUKEGAN RD, PO BOX 916, MORTON GROVE, IL 60053
(847) 250-7344
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
171400000X
Health & Wellness Coach
—
—
253Z00000X
In Home Supportive Care Agency
—
—
332U00000X
Home Delivered Meals
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
01/26/2021
Last updated
08/12/2021
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