Tamara Balcerzak, FNP-C

Individual provider Active NPI Family Nurse Practitioner · Vernon Hills, IL

NPI 1982331385 · NPPES record last updated Jan 23, 2023

Key facts

NPI
1982331385
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
209025502 (IL)
Practice address
863 N Milwaukee Ave Unit 400
Vernon Hills, IL 60061-1643
Phone
(224) 601-6863
NPI assigned
Aug 4, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
209025502ILMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209025502 IL Yes

Addresses

Primary practice location

863 N Milwaukee Ave Unit 400
Vernon Hills, IL 60061-1643

Mailing address

863 N Milwaukee Ave
Vernon Hills, IL 60061-1643
Phone (224) 601-6863

Other names

  • Tamara Bozio Former name

Other providers in Vernon Hills, IL

All providers in Vernon Hills, IL · Family Nurse Practitioner in Illinois

Sources for this page

Verify at the official NPI Registry.