Individual
TIFFANY RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16150 CICERO AVE STE 12, OAK FOREST, IL 60452-4136
(708) 580-0119
Mailing address
16150 CICERO AVE STE 12, OAK FOREST, IL 60452-4136
(708) 580-0119
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043111861
IL
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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