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HAANI TAI
NPI 1942097324
Student in an Organized Health Care Education/Training Program in North Chicago, IL

Active since April 21, 2025PECOS Enrolled
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064(847) 688-1900 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Haani Tai NPPES

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

HAANI TAI (NPI 1942097324) is an individual student in an organized health care education/training program in North Chicago, Illinois and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942097324
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameHAANI TAI
Location Address3001 GREEN BAY RDNorth Chicago, IL 60064-3048
Mailing Address3333 Green Bay RdNorth Chicago, IL 60064-3037
Phone(847) 688-1900
Sole ProprietorNo
Enumeration DateApril 21, 2025
NPPES CertifiedApril 21, 2025
✔ NPI 1942097324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3001 GREEN BAY RD, North Chicago, IL 60064
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Haani Tai is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PHILIP CYRUS FANAPOUR DO
Anesthesiology (Critical Care Medicine)
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (224) 610-1900
MR. BIJU CHERIAN PA-C
Physician Assistant
3001 GREEN BAY RD, CAPTAIN JAMES A. LOWELL FHCC, DEPT. OF CARDIOLOGY
NORTH CHICAGO, IL 60064
Lake County (224) 610-8201
GAGANDEEP SINGH GROVER MD
Internal Medicine
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (847) 688-1900
SARA ELISE RINGLE RN
Registered Nurse
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (810) 494-1587
NEELPREET TOOR DO
Psychiatry & Neurology (Psychiatry)
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (847) 688-1900
BRANDON FLERES
Psychiatry & Neurology (Psychiatry)
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (847) 688-1900
SEMYON SHULMAN
Psychiatry & Neurology (Neurology)
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (847) 688-1900
MS. SHIRLEY ANN HOFFMAN MSW
Social Worker (Clinical)
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (224) 610-5901

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 Haani Tai's NPI number?

The NPI number for Haani Tai is 1942097324. It was assigned to this individual provider in the NPPES registry on April 21, 2025.

Where is Haani Tai located?

Haani Tai practices at 3001 Green Bay Rd, North Chicago, IL 60064. The listed phone number is (847) 688-1900.

What is Haani Tai's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Haani Tai enrolled in Medicare?

Yes. Haani Tai is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Haani Tai was last updated on April 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.