Shela Tan-urdaneta

ActiveIndividual ProviderSpecialty not listed
NPI issued: May 20, 2026

Quick Facts

NPI Number
1306776539
TypeIndividual
StatusActive
SpecialtySpecialty not listed
Taxonomy163WH0200X — Specialty not listed
Phone
(773) 997-4917
StateIL

NPI Validation Status: Verified

Valid 10-digit NPI number (1306776539)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (May 20, 2026)
Data source: CMS NPPES

Provider Overview

SHELA TAN-URDANETA is a Healthcare provider based in Lake Villa, IL who has been registered with CMS since 2026. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1306776539
Provider TypeIndividual Provider
GenderFemale
StatusActive
Enumeration DateMay 20, 2026

Practice Location

CityLake Villa
StateIL
ZIP Code60046-8648
Phone(773) 997-4917

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code163WH0200X
License StateIL

Mailing Address

CityLake Villa
StateIL
ZIP Code60046-8648
Phone(773) 997-4917
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1306776539 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1306776539for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1306776539 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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10,692
Specialty not listed Providers in the US

Similar Providers in Lake Villa

No similar providers found in Lake Villa.

Other Healthcare Providers in Lake Villa

Janet Barney, APNP

Nurse Practitioner

Family Care Of Lake County S.c.

Specialty not listed

Eugene Pomeranets, MD

Family Medicine

Semyon Maslovsky, MD

Family Medicine

Rosanne Oggoian, D.O

Specialty not listed

James Swenson, D.D.S

Dentistry

People Also Ask

What is Shela Tan-urdaneta's NPI number?
Shela Tan-urdaneta's NPI number is 1306776539, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Shela Tan-urdaneta's NPI currently active?
Yes, Shela Tan-urdaneta's NPI status is Active as of the latest CMS NPPES database updates.
What does Shela Tan-urdaneta specialize in?
Shela Tan-urdaneta specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 163WH0200X.
Where does Shela Tan-urdaneta practice?
Shela Tan-urdaneta practices in Lake Villa, IL 60046-8648.
When was Shela Tan-urdaneta's NPI issued?
Shela Tan-urdaneta's NPI was issued on May 20, 2026.
What is Shela Tan-urdaneta's provider type?
Shela Tan-urdaneta is registered as an Individual Provider under CMS NPI Type 1.