Individual
MRS. TIFFANY J KALITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FPA, APRN, FNP-BC
Contact information
Practice address
2900 FOXFIELD RD STE 100, ST CHARLES, IL 60174-5799
(630) 377-6500
(630) 377-6577
Mailing address
2900 FOXFIELD RD STE 100, ST CHARLES, IL 60174-5799
(630) 377-6500
(630) 377-6577
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
277000491
IL
363LF0000X
Family Nurse Practitioner
209010752
IL
Other
Enumeration date
09/26/2013
Last updated
05/02/2023
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