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

Shela Tan-Urdaneta

Individual provider Home Health Registered Nurse · NPI 1306776539

Shela Tan-Urdaneta is a Home Health Registered Nurse in Lake Villa, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2026

Practice location Address checks out

1177 Pine Tree Ct
Lake Villa, IL 60046-8648
Phone: (773) 997-4917
Fax: (773) 901-3075
Show map & directions

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

Specialties & licences

Home Health Registered Nurse (primary) Taxonomy 163WH0200X · Licence 041363370 (IL)

Record details

NPI number1306776539
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 20, 2026
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026
Mailing address1177 Pine Tree Ct, Lake Villa, IL 60046-8648