Provider Demographics
NPI:1467272864
Name:TANVEK CORPORATION
Entity type:Organization
Organization Name:TANVEK CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONIA
Authorized Official - Middle Name:
Authorized Official - Last Name:EKASA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-920-6971
Mailing Address - Street 1:5930 HOHMAN AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:IN
Mailing Address - Zip Code:46320-3051
Mailing Address - Country:US
Mailing Address - Phone:708-920-6871
Mailing Address - Fax:
Practice Address - Street 1:5930 HOHMAN AVE STE 204
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:IN
Practice Address - Zip Code:46320-3051
Practice Address - Country:US
Practice Address - Phone:708-920-6871
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-11
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies