Individual
ROSEANN TANQUILUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
880 W CENTRAL RD STE 5000, ARLINGTON HEIGHTS, IL 60005-2355
(847) 618-3800
(847) 618-3809
Mailing address
880 W CENTRAL RD STE 5000, ARLINGTON HEIGHTS, IL 60005-2355
(847) 618-3800
(847) 618-3809
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209024954
IL
363LF0000X
Family Nurse Practitioner
209024954
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209024954
STATE LICENSE
IL
Enumeration date
03/24/2022
Last updated
05/24/2024
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