Provider Demographics
NPI:1770516874
Name:T&N HEALTH SERVICE INC
Entity type:Organization
Organization Name:T&N HEALTH SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:WASE
Authorized Official - Middle Name:QAWI
Authorized Official - Last Name:ABDUL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:224-534-7027
Mailing Address - Street 1:9950 LAWRENCE AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:SCHILLER PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60176-1214
Mailing Address - Country:US
Mailing Address - Phone:224-534-7027
Mailing Address - Fax:224-534-7416
Practice Address - Street 1:9950 LAWRENCE AVE STE 101
Practice Address - Street 2:
Practice Address - City:SCHILLER PARK
Practice Address - State:IL
Practice Address - Zip Code:60176-1214
Practice Address - Country:US
Practice Address - Phone:224-534-7027
Practice Address - Fax:224-534-7416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1007434251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL147626OtherMEDICARE
IL147626Medicare ID - Type Unspecified