Individual
TIFFANY A LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1725 W HARRISON ST STE 1156, CHICAGO, IL 60612-3852
(312) 563-1156
(312) 563-4388
Mailing address
1725 W HARRISON ST STE 1156, CHICAGO, IL 60612-3852
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209.023060
IL
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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