Tiffany R Vandivier
Tiffany R Vandivier is a Nurse Practitioner in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2023
Practice location Address checks out
946 N Racine AveChicago, IL 60642-4126
Phone: (330) 998-5862
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 209027924 (IL) |
|---|
Record details
| NPI number | 1811670656 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 9, 2023 |
| Last updated in NPPES | August 9, 2023 |
| Certification date | May 10, 2023 |
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