Tania Mikaitis Apn SC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209005514 Issued in IL

Legal business name

TANIA MIKAITIS APN SC

Practice address

956 Burgess Cir
Buffalo Grove, IL 60089-1205

Phone

(312) 404-0244

Fax

(312) 276-4299

NPI assigned

May 15, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Tania M Mikaitis, APNCNP

Title

President

Phone

(312) 404-0244

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1295941573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "956 BURGESS CIR",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891205",
            "telephone_number": "312-404-0244",
            "fax_number": "312-276-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "956 BURGESS CIR",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891205",
            "telephone_number": "312-404-0244",
            "fax_number": "312-276-4299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANIA MIKAITIS APN SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "MIKAITIS",
        "authorized_official_first_name": "TANIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-404-0244",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "APNCNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209005514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED APNCNP",
            "identifier": "209005514",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE I NPI",
            "identifier": "1104873140",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.