Individual
TIFFANY THEUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1862 WESTRIDGE PL, AURORA, IL 60504-4364
(847) 624-6907
Mailing address
1862 WESTRIDGE PL, AURORA, IL 60504-4364
(184) 762-4690
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.374612
IL
363L00000X
Nurse Practitioner
Primary
209024962
IL
Other
Enumeration date
02/15/2022
Last updated
02/03/2024
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