Tahata, Tiffany

Tahata, Tiffany is an sole proprietor health care provider with primary practice located at 1725 W Harrison St , Chicago IL 60612-3841. She recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as her primary health care specialty. Tahata, Tiffany can be contacted via phone (312) 942-5000.

Contact Information

Primary practice address
1725 W Harrison St Chicago IL 60612-3841
Phone: (312) 942-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 036165203 Illinois

Profile Details

NPI number 1942820337
LBN Legal business name Tahata, Tiffany
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2020
Last updated Jun 25th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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