Judith Lynn Tanner, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Practice address

444 Skokie Blvd
#360
Wilmette, IL 60091-3086

Phone

(312) 464-0120

Fax

(847) 920-1540

NPI assigned

Nov 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578633848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 SKOKIE BLVD",
            "address_2": "#360",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600913086",
            "telephone_number": "312-464-0120",
            "fax_number": "847-920-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 SKOKIE BLVD",
            "address_2": "#360",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600913086",
            "telephone_number": "312-464-0120",
            "fax_number": "847-920-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "JUDITH",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Carol Switalski, AMFT
• Symbria RX Services, LLC
• Dilshad Tajuddin, APN
• Patrick Takata
• Taking Root, PLLC
• Aryan Tavassoli
• Mark Anthony Temenak, MS, CCC-SLP B/L
• Shalu Thakral, LCSW
• The Balanced Center, LLC
• Angela M. Thomas, CNP

• Psychiatry Physician in Wilmette, IL
• Providers in Wilmette, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.