MEDICARE: T&N HEALTH SERVICE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	1007434	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	147626	OTHER	IL	MEDICARE

General Provider Information

NPI Number	:	1770516874
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	T&N HEALTH SERVICE INC

Provider Business Mailing Address
First Line	:	9950 LAWRENCE AVE STE 101
Second Line	:
City	:	SCHILLER PARK
State	:	IL
Zip	:	60176-1214
Country	:	US
Telephone Number	:	224-534-7027
Fax Number	:	224-534-7416

Provider Business Practice Location Address
First Line	:	9950 LAWRENCE AVE STE 101
Second Line	:
City	:	SCHILLER PARK
State	:	IL
Zip	:	60176-1214
Country	:	US
Telephone Number	:	224-534-7027
Fax Number	:	224-534-7416

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	WASE QAWI ABDUL
Credential	:	RN
Telephone Number	:	224-534-7027

Provider Enumeration Date	:	07/09/2006
Last Update Date	:	07/28/2023

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