Tanni Supportive Living

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

TANNI SUPPORTIVE LIVING

Practice address

2698 Belvidere Rd Unit A01B
Waukegan, IL 60085-6006

Phone

(847) 868-3003

Fax

(224) 252-2997

NPI assigned

May 10, 2021

Organization subpart

Yes

Parent organization

LAKE-COOK HEALTHCARE SERVICESAs reported in NPPES

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

Authorized official

Name

Linda Tanni, APRNNPI 1780063917

Title

Aprn

Phone

(847) 868-3003

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lake-Cook Healthcare Services Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Tanni Supportive Living

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Linda Tanni, APRN

  • Nurse Practitioner
  • Gurnee, IL
  • NPI 1780063917
  Medicare reassignment NPD Authorized official
• Lawrence Ngu, M.D.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1114081643
  Medicare reassignment NPD

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1356925929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 NATIONS DR STE 115",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600319171",
            "telephone_number": "847-868-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2698 BELVIDERE RD UNIT A01B",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600856006",
            "telephone_number": "847-868-3003",
            "fax_number": "224-252-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANNI SUPPORTIVE LIVING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAKE-COOK HEALTHCARE SERVICES",
        "enumeration_date": "2021-05-10",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "TANNI",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "847-868-3003",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13876593",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake-Cook Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Magdalena Tabor
• Talbularasa Wellness Center LLC
• Ann Tamale
• Melissa Mae Tamondong, APRN
• Teresa Tanner, LPT
• Eduardo Tapia
• Elizabeth Tapia
• Judith Tapia, MA
• Ricardo G Tapiador, DMD
• Diane K Taylor

• Multi-Specialty Clinic/Center in Waukegan, IL
• Providers in Waukegan, IL by specialty
• Multi-Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.