TIFFANY GRANT

CHICAGO, IL
NPI1285961607
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209007728)
Enumeration Date2009-11-05
Last Update Date2009-11-05
Business Address
-- TIFFANY GRANT
10961 S KEDZIE AVE
CHICAGO, IL 60655-2219
Phone number: 773-239-9100
Mailing Address
-- TIFFANY GRANT
10961 S KEDZIE AVE
CHICAGO, IL 60655-2219
Phone number: 773-239-9100
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