Individual
MRS. TIFFANY ERIN O'HERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1555 S MAIN ST, CROWN POINT, IN 46307-0114
(872) 231-3162
Mailing address
PO BOX 74008272, CHICAGO, IL 60674-8272
(702) 899-0595
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001859B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10001859B
LICENSE
IN
Enumeration date
06/17/2013
Last updated
11/10/2025
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