Healthcare Provider Details

I. General information

NPI: 1710804208
Provider Name (Legal Business Name): TANAMA SPEECH AND LANGUAGE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2026
Last Update Date: 07/04/2026
Certification Date: 07/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 GOLF CTR STE 252
HOFFMAN ESTATES IL
60169-4910
US

IV. Provider business mailing address

3 GOLF CTR STE 252
HOFFMAN ESTATES IL
60169-4910
US

V. Phone/Fax

Practice location:
  • Phone: 630-815-4309
  • Fax:
Mailing address:
  • Phone: 630-815-4309
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: YANITZA M VAZQUEZ SURI
Title or Position: FOUNDER/CEO
Credential: CCC-SLP
Phone: 630-815-4309