Individual
TIRANEY REDMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 SIBLEY BLVD STE 104, CALUMET CITY, IL 60409-2153
(708) 933-0872
Mailing address
3439 W 82ND PL, CHICAGO, IL 60652-2503
(773) 386-3439
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041318088
IL
363L00000X
Nurse Practitioner
Primary
209019206
IL
Other
Enumeration date
12/04/2018
Last updated
07/08/2019
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