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

Jeffrey K Tanaka

Individual provider Athletic Trainer · NPI 1285414144

Jeffrey K Tanaka is an Athletic Trainer in Evanston, Illinois. Licensed in Illinois. Registered with an NPI since 2023.

Licensed in
IL
In the registry since
2023

Practice location Address checks out

2255 Campus Dr
Evanston, IL 60208-0001
Phone: (847) 491-8863
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 002783 (IL)

Record details

NPI number1285414144
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 28, 2023
Last updated in NPPESSeptember 28, 2023
Certification dateJune 19, 2023
Mailing address2255 Campus Drive, Evanston, IL 60208-0001

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