MEDICARE: LINDA TANNI APRN

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	363L00000X	Nurse Practitioner	209-011866	IL
2	363LC1500X	Community Health Nurse Practitioner	209011866	IL

General Provider Information

NPI Number	:	1780063917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA TANNI APRN

Provider Business Mailing Address
First Line	:	1800 NATIONS DR STE 115
Second Line	:
City	:	GURNEE
State	:	IL
Zip	:	60031-9171
Country	:	US
Telephone Number	:	847-868-3003
Fax Number	:

Provider Business Practice Location Address
First Line	:	1800 NATIONS DR STE 115
Second Line	:
City	:	GURNEE
State	:	IL
Zip	:	60031-9171
Country	:	US
Telephone Number	:	847-868-3003
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2015
Last Update Date	:	03/09/2026

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Directions to “ LINDA TANNI APRN” Practice Location

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