Individual
DR. TIFFANY COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 296-8640
Mailing address
4813 S WABASH AVE APT 2, CHICAGO, IL 60615-2341
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
018.002296
IL
390200000X
Student in an Organized Health Care Education/Training Program
018.002296
IL
Other
Enumeration date
07/31/2024
Last updated
11/13/2025
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