Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shela Tan-Urdaneta

Individual provider Home Health Registered Nurse · NPI 1306776539

Shela Tan-Urdaneta is a Home Health Registered Nurse in Lake Villa, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2026

Practice location Address checks out

1177 Pine Tree Ct
Lake Villa, IL 60046-8648
Phone: (773) 997-4917
Fax: (773) 901-3075
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Registered Nurse (primary) Taxonomy 163WH0200X · Licence 041363370 (IL)

Record details

NPI number1306776539
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 20, 2026
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026