Tiffany Grant
Tiffany Grant is a Nurse Practitioner in Chicago, Illinois. Qualified in 2008, 18 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 18
- Licensed in
- IL
- In the registry since
- 2009
Practice location Address checks out
10961 S Kedzie AveChicago, IL 60655-2219
Phone: (773) 239-9100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 209007728 (IL) |
|---|
Record details
| NPI number | 1285961607 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 5, 2009 |
| Last updated in NPPES | November 5, 2009 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2008 (18 years in practice) |
| Group practice | Northwestern Medical Faculty Foundation — 4394 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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