Individual
JANICE KATHERINE TIZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P
Contact information
Practice address
3860 W OGDEN AVE, CHICAGO, IL 60623-2460
(872) 588-3000
Mailing address
3860 W OGDEN AVE, CHICAGO, IL 60623-2460
(872) 588-3000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP009014
PA
363LF0000X
Family Nurse Practitioner
Primary
209-013574
IL
Other
Enumeration date
06/26/2006
Last updated
12/14/2015
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