Individual
DR. TIFFANY PORTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
520 E GOLD RD, SCHAUMBURG, IL 60173
(847) 781-1022
Mailing address
484 VININGS DR, BLOOMINGDALE, IL 60108-2629
(817) 657-9579
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011653
IL
152W00000X
Optometrist
0618003478
VA
Other
Enumeration date
07/25/2022
Last updated
05/05/2025
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