Tania Mikaitis Apn Sc
Nurse Practitioner in Buffalo Grove, IL. Organization (NPI-2).
NPI number1295941573
StatusActive
Last updated in NPPESMar 29, 2010
Details
- NPI
- 1295941573
- Entity type
- Organization (NPI-2)
- Legal business name
- Tania Mikaitis Apn Sc
- Organization subpart
- No
- Enumeration date
- May 15, 2007
- Last updated
- Mar 29, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209005514 | IL | Yes |
Practice location
956 Burgess CirBuffalo Grove, IL 60089-1205
Phone 312-404-0244 · Fax 312-276-4299
Mailing address
956 Burgess CirBuffalo Grove, IL 60089-1205
Phone 312-404-0244 · Fax 312-276-4299
Authorized official
Tania M Mikaitis
President
3124040244
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