Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Tiffany Nicole Moore

Individual provider Case Manager/Care Coordinator · NPI 1104683911

MS. Tiffany Nicole Moore is a Case Manager/Care Coordinator in Chicago, Illinois. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

219 W Chicago Ave Ste 200
Chicago, IL 60654-5600
Phone: (832) 761-3176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1104683911
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 28, 2024
Last updated in NPPESFebruary 28, 2024
Certification dateFebruary 28, 2024

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