Individual
TIFFANY CHIMAROKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6808 S EAST END AVE # 3, CHICAGO, IL 60649-1402
(773) 691-2322
Mailing address
6808 S EAST END AVE # 3, CHICAGO, IL 60649-1402
(773) 691-2322
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374J00000X
—
IL
Enumeration date
06/14/2016
Last updated
06/14/2016
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