Tanya Tanzillo, CNP | |
2507 N Richmond Rd, Mchenry, IL 60051 | |
(815) 338-6600 | |
(815) 759-4078 |
Full Name | Tanya Tanzillo |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2507 N Richmond Rd, Mchenry, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114032802 | NPI | - | NPPES |
209005985 | Other | IL | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209005985 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | 209005985 (Illinois) | Primary |
Entity Name | Central Dupage Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
Mailing Address | Practice Location Address |
---|---|
Tanya Tanzillo, CNP 2507 N Richmond Rd, Mchenry, IL 60051-5407 Ph: (815) 338-6600 | Tanya Tanzillo, CNP 2507 N Richmond Rd, Mchenry, IL 60051 Ph: (815) 338-6600 |
Mrs. Josette Dutcher, APRN-BC, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3925 W Elm St, Mchenry, IL 60050 Phone: 800-323-8622 Fax: 224-225-0396 | |
Magaly Nickles, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4309 W Medical Center Dr Ste B305, Mchenry, IL 60050 Phone: 847-802-7400 | |
Lindsay Ann Mattes, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3901 Mercy Dr, Mchenry, IL 60050 Phone: 815-363-9900 | |
Katarzyna Maria Brozek, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-344-5000 | |
Nichole N Clark, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 633 Ridgeview Dr, Mchenry, IL 60050 Phone: 815-344-0621 Fax: 815-344-0664 | |
Carrie A Hauck, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-334-5566 Fax: 815-759-4008 |