Tanisha Antonio
Tanisha Antonio is a Nurse Practitioner in Glenview, Illinois. Qualified in 2020, 6 years ago. Practices with V Covington, LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 6
- Licensed in
- IL
- In the registry since
- 2021
Practice location Address checks out
195 Waukegan Rd Unit 371Glenview, IL 60025-5186
Phone: (773) 562-2182
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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 · Licence 209022995 (IL) |
|---|
Record details
| NPI number | 1528643228 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 14, 2021 |
| Last updated in NPPES | March 14, 2021 |
| Certification date | March 14, 2021 |
| Mailing address | 195 Waukegan Rd Unit 371, Glenview, IL 60025-5186 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | V Covington, Llc — 7 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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