Individual
TIFFANY CHANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9039 S CORNELL AVE, CHICAGO, IL 60617-3505
(872) 600-2246
Mailing address
9039 S CORNELL AVE, CHICAGO, IL 60617-3505
(872) 600-2246
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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