Tldubose LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

TLDUBOSE LLC

Practice address

17707 W Dartmoor Dr
Grayslake, IL 60030-1996

Phone

(401) 602-3938

NPI assigned

Aug 27, 2025

Last updated

Aug 27, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tammy Dubose, BC-PMHNP, APRNNPI 1437494630

Title

Psychiatric Nurse Practitioner

Phone

(401) 602-3938

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tammy L Dubose, APN-CNP

  • Nurse Practitioner
  • Evanston, IL
  • NPI 1437494630

  Psychiatric/Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1790664647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17707 W DARTMOOR DR",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301996",
            "telephone_number": "401-602-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17707 W DARTMOOR DR",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301996",
            "telephone_number": "401-602-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLDUBOSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "DUBOSE",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "401-602-3938",
        "authorized_official_credential": "BC-PMHNP, APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Asha Thumme, LMFT, CST
• Thurston & Associates (North Suburban Counseling)
• Debra Thurston, M.A., L.C.P.C.
• Laurine A Tiema-Benson, MD
• Ellen E Tkach, DDS
• Lawrence Todryk, PSY.D.
• Alissa Tomanek, MA
• Sukhdip Toor, PHARMD
• Ann Torp, LMT
• Teneia Townsend

• Psychiatric/Mental Health Nurse Practitioner in Grayslake, IL
• Providers in Grayslake, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.