Tiffany Hawthorne
Tiffany Hawthorne is a Nurse Practitioner in Chicago, Illinois. Qualified in 2024, 2 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 2
- Licensed in
- IL
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
9025 S Marshfield AveChicago, IL 60620-5546
Phone: (773) 654-8112
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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 209.030813 (IL) |
|---|---|
| Psychiatric/Mental Health Registered Nurse | Taxonomy 163WP0808X · Licence 041478292 (IL) |
Record details
| NPI number | 1063231900 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 8, 2024 |
| Last updated in NPPES | March 7, 2025 |
| Certification date | March 7, 2025 |
| Mailing address | 9025 S Marshfield Ave, Chicago, IL 60620-5546 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 6 on file with Medicare |
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