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

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1730031121

Tiffani Gans, PSYCHIATRICMENTALH is a Nurse Practitioner in Bolingbrook, Illinois. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Illinois.

Years since qualifying
1
Licensed in
IL
In the registry since
2026
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Practice location Address checks out

440 W Boughton Rd Ste E
Bolingbrook, IL 60440-2391
Phone: (815) 278-0404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 209033896 (IL)

Record details

NPI number1730031121
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYCHIATRICMENTALH
Sole proprietorYes
NPI enumeratedFebruary 10, 2026
Last updated in NPPESFebruary 10, 2026
Certification dateFebruary 10, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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