TIFFANY NIKIA WHITE

CHICAGO, IL
NPI1912789819
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IL  209.029461)
Enumeration Date2023-10-16
Last Update Date2024-11-10
Business Address
TIFFANY NIKIA WHITE APRN
45 W 111TH ST
CHICAGO, IL 60628-4200
Phone number: 708-259-4043
Mailing Address
TIFFANY NIKIA WHITE APRN
9631 S CICERO AVE # 1057
OAK LAWN, IL 60453-3137
Phone number: 708-694-9680