TERESA TANNER (NPI# 1528088671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528088671 |
| Entity Type | Individual |
| Full Name | TERESA TANNER |
| Credential | LPT |
| Practice Address |
3012 Grand Ave Waukegan IL 60085-2321 |
| Practice Telephone | 8473778180 |
| Practice Fax Number | 8473361517 |
| Mailing Telephone | 8473778180 |
| Mailing Fax Number | 8473361517 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861444390 | Teresa Tanner | Physical Therapy Assistant | 601 Mathis Ferry Rd, Mt Pleasant, SC 29464-2623 | 2006-05-16 |
| Street Address |
3012 GRAND AVE |
| City | WAUKEGAN |
| State | IL |
| Zip Code | 60085-2321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699720300 | Badr S Javed | Psychiatry & Neurology | 3012 Grand Ave, Waukegan, IL 60085-2321 | 2006-05-23 |
| 1871964197 | Jonathan Arenas | Counselor | 3012 Grand Ave, Waukegan, IL 60085-2321 | 2015-10-13 |
| 1225235500 | Douglas Saesan | Counselor | 3012 Grand Ave, Waukegan, IL 60085-2321 | 2007-06-29 |
| 1235334368 | Judith Tapia | Counselor | 3012 Grand Ave, Waukegan, IL 60085-2321 | 2007-06-19 |
| 1326262171 | Christine J Rice | Psychologist | 3012 Grand Ave, Waukegan, IL 60085-2321 | 2007-04-12 |
| 1235152547 | Hargurmukh Singh | Psychiatry & Neurology | 3012 Grand Ave, Waukegan, IL 60085-2321 | 2006-07-26 |
| 1487677787 | Lori Moss | Psychiatry & Neurology | 3012 Grand Ave, Waukegan, IL 60085-2321 | 2006-07-26 |
| 1124041843 | Wendy Powell | Social Worker | 3012 Grand Ave, Waukegan, IL 60085-2321 | 2006-07-25 |
| 1750303129 | John Ginter | Counselor | 3012 Grand Ave, Waukegan, IL 60085-2321 | 2006-07-24 |
| 1194747592 | Ronald Watson | Psychologist | 3012 Grand Ave, Waukegan, IL 60085-2321 | 2006-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285285189 | Allison Rose Matuszewski | Speech-Language Pathologist | Robbie M. Lightfoot, 1721 N Mcaree Rd, Waukegan, IL 60085 | 2019-09-23 |
| 1164985602 | Kristin Kaprak | Speech-Language Pathologist | Thomas Jefferson Middle School, 600 S. Lewis, Waukegan, IL 60085 | 2019-04-11 |
| 1861972317 | Mitchum Smith | Student in an Organized Health Care Education/Training Program | 2025 Washington Street, Waukegan, IL 60085 | 2018-08-15 |
| 1447702998 | Rachel Martinez | Registered Nurse | 3002 Grand Ave., Waukegan, IL 60085 | 2016-11-01 |
| 1831649250 | Kenneth Caples | Specialist/Technologist | 211 S County St, Waukegan, IL 60085 | 2016-10-10 |
| 1033666490 | Catholic Charities of The Archdiocese of Chicago | Community/Behavioral Health | 671 S. Lewis Ave., Waukegan, IL 60085 | 2016-09-02 |
| 1285007757 | Michael Moore | Counselor | 1113 Greenwood Ave, Waukegan, IL 60085 | 2015-11-05 |
| 1740656503 | Emperatriz Guerra | Counselor | 329 N. Genesee Street, Waukegan, IL 60085 | 2015-08-17 |
| 1992189880 | County of Lake | Clinic/Center | 540 S. Mcalister Ave., Waukegan, IL 60085 | 2015-07-10 |
| 1922406354 | Ebele Okonkwor | Nurse Anesthetist, Certified Registered | 1324 N. Sheridan, Waukegan, IL 60085 | 2014-12-17 |
| Find all providers in zip 60085 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336528108 | Andreina Navarro | Pharmacy Technician | 3050 N Lewis Ave, Waukegan, IL 60087-2231 | 2015-05-26 |
| 1245622307 | Jaime Santana | Pharmacy Technician | 3050 N Lewis Ave, Waukegan, IL 60087-2231 | 2015-02-26 |
| 1063803849 | Adam Miscichowski | Pharmacy Technician | 3050 N Lewis Ave, Waukegan, IL 60087-2231 | 2015-02-14 |
| 1174914105 | Darlene Castillo | Pharmacy Technician | 3050 N Lewis Ave, Waukegan, IL 60087-2231 | 2015-02-12 |
| 1225429210 | Martha C Acosta | Pharmacy Technician | 3050 N Lewis Ave, Waukegan, IL 60087-2231 | 2015-02-11 |
| 1497146484 | Melinda Moore | Pharmacy Technician | 3050 N Lewis Ave, Waukegan, IL 60087-2231 | 2015-02-11 |
| 1215328489 | Charolette Bodden | Pharmacy Technician | 3050 N Lewis Ave, Waukegan, IL 60087-2231 | 2015-02-10 |
| 1770983710 | Cortney Cadby | Pharmacy Technician | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2014-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616299 | Marina Bozovic | Pharmacy Technician | 2229 S Lexington Dr Apt 208, Mount Prospect, IL 60056-5959 | 2020-10-11 |
| 1124633094 | Lorena Sadiku | Pharmacy Technician | 9 Regent Ct, Oak Brook, IL 60523-1755 | 2020-09-08 |
| 1457966301 | Hoang Bich Thuy Tran | Pharmacy Technician | 496 Vaughn Cir, Aurora, IL 60502-6764 | 2020-09-08 |
| 1093320947 | David Li | Pharmacy Technician | 2848 S Quinn St Apt A, Chicago, IL 60608-5979 | 2020-09-08 |
| 1922612928 | Valentina Iliescu | Pharmacy Technician | 2440 N Luna Ave, Chicago, IL 60639-1335 | 2020-09-07 |
| 1972128486 | Peter Redden | Pharmacy Technician | 15232 S 82nd Ave, Orland Park, IL 60462-4116 | 2020-06-10 |
| 1306492186 | Camiesa Rashida Rogers | Pharmacy Technician | 626 N Austin #7, Oak Park, IL 60302 | 2019-08-16 |
| 1679029995 | Meghan Robbins | Pharmacy Technician | 10428 S. Springfield, Chicago, IL 60655 | 2016-08-28 |
| 1093185209 | Kristin Kalivoda | Pharmacy Technician | 2 N. Cass Avenue, Westmont, IL 60559 | 2015-09-30 |
| 1922498484 | Heather Boslem | Pharmacy Technician | 1016 Emerald Ln, Machesney Park, IL 61115-2130 | 2015-02-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.