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TANNI SUPPORTIVE LIVING
NPI 1356925929
Clinic/Center - Multi-Specialty in Waukegan, IL

Active since May 10, 2021
2698 BELVIDERE RD UNIT A01B, WAUKEGAN, IL 60085(847) 868-3003(224) 252-2997 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 9, 2026, Sep 9, 2022, Mar 9, 2022 and 3 more (6 updates tracked since 2021).

About Tanni Supportive Living NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TANNI SUPPORTIVE LIVING (NPI 1356925929), doing business as Lake-cook Healthcare Services, is a healthcare organization registered as a multi-specialty in Waukegan, Illinois and active in the NPI registry since May 2021. The organization lists Linda Tanni, Aprn, as its authorized official.

NPPES Registry Identity

NPI1356925929
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameTANNI SUPPORTIVE LIVING
Location Address2698 BELVIDERE RD UNIT A01BWaukegan, IL 60085-6006
Mailing Address1800 Nations Dr Ste 115Gurnee, IL 60031-9171 · (847) 868-3003
Phone(847) 868-3003
Fax(224) 252-2997
Organization SubpartYesParent: Lake-cook Healthcare Services
Authorized OfficialLinda TanniAprn · (847) 868-3003
Enumeration DateMay 10, 2021
Last NPPES UpdateMarch 9, 20266 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
✔ NPI 1356925929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
2698 BELVIDERE RD UNIT A01B, Waukegan, IL 60085
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Other Names 1

Doing Business AsLake-cook Healthcare Services

Other Identifiers 1

Other13876593IL · Caqh

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tanni Supportive Living is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Tanni Supportive Living, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Linda Tanni, APRN
Nurse Practitioner
NPI 1780063917
1800 NATIONS DR STE 115
Gurnee, IL 60031
(847) 868-3003
✔ PECOS✔ Accepts Medicare4.4 mi
Lawrence Ngu, M.D.
Internal Medicine
NPI 1114081643
2545 S KING DR
Chicago, IL 60616
(312) 842-7117
✔ PECOS37 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tanni Supportive Living's NPI number?

The NPI number for Tanni Supportive Living is 1356925929. It was assigned to this organization in the NPPES registry on May 10, 2021. The provider is doing business as Lake-Cook Healthcare Services.

Where is Tanni Supportive Living located?

Tanni Supportive Living is located at 2698 Belvidere Rd Unit A01b, Waukegan, IL 60085. The listed phone number is (847) 868-3003.

What is Tanni Supportive Living's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Tanni Supportive Living enrolled in Medicare?

Yes. Tanni Supportive Living is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tanni Supportive Living?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Tanni Supportive Living, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Tanni Supportive Living was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.