Individual
TIFFANY LYNN TOWNSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
120 W 26TH ST, SOUTH CHICAGO HEIGHTS, IL 60411-4141
(708) 756-5200
(708) 756-1136
Mailing address
120 W 26TH ST, SOUTH CHICAGO HEIGHTS, IL 60411-4141
(708) 756-5200
(708) 756-1136
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043112536
IL
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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