Individual
TIFFANY RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
21120 WASHINGTON PKWY, FRANKFORT, IL 60423-3112
(815) 469-9750
Mailing address
8135 S ARTESIAN AVE, CHICAGO, IL 60652-2838
(773) 471-5461
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209010386
IL
Other
Enumeration date
10/08/2012
Last updated
05/02/2013
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