Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tldubose LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1790664647

Tldubose LLC is a Psychiatric/Mental Health Nurse Practitioner in Grayslake, Illinois. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17707 W Dartmoor Dr
Grayslake, IL 60030-1996
Phone: (401) 602-3938
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1790664647
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tammy Dubose — Psychiatric Nurse Practitioner · (401) 602-3938
NPI enumeratedAugust 27, 2025
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025
Mailing address17707 W Dartmoor Dr, Grayslake, IL 60030-1996

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