Destiny L. Tanas
Student in an Organized Health Care Education/Training Program in Crete, IL. Individual provider (NPI-1).
NPI number1124750146
StatusActive
Last updated in NPPESJun 28, 2022
Details
- NPI
- 1124750146
- Entity type
- Individual (NPI-1)
- Name
- Destiny L. Tanas
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 28, 2022
- Certification date
- Jun 28, 2022
- Last updated
- Jun 28, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
534 1st St Ste ACrete, IL 60417-2153
Phone 219-805-1560
Mailing address
534 1st St Ste ACrete, IL 60417-2153
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Student in an Organized Health Care Education/Training Program providers in Crete, IL
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