Individual
TAMIKA MARIE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
14484 JOHN HUMPHREY DR, ORLAND PARK, IL 60462-2638
(708) 892-2900
(708) 892-2909
Mailing address
14484 JOHN HUMPHREY DR, ORLAND PARK, IL 60462-2638
(708) 892-2900
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.030983
IL
Other
Enumeration date
09/05/2024
Last updated
11/11/2024
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