Individual
DR. TIFFANY MICHELLE CAMPOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1713 S ASHLAND AVE, CHICAGO, IL 60608-2014
(312) 742-1978
Mailing address
1713 S ASHLAND AVE, CHICAGO, IL 60608-2014
(312) 742-1948
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041467673
IL
163WC0400X
Case Management Registered Nurse
Primary
041467673
IL
Other
Enumeration date
03/09/2026
Last updated
03/19/2026
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