TIFFANY TAHATA

CHICAGO, IL
NPI1942820337
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207RA0401X Internal Medicine Addiction Medicine
(Licence: IL  036165203)
Enumeration Date2020-04-25
Last Update Date2024-06-25
Business Address
TIFFANY TAHATA DO
1725 W HARRISON ST
CHICAGO, IL 60612-3841
Phone number: 312-942-5000
Mailing Address
TIFFANY TAHATA DO
345 E WACKER DR APT 701
CHICAGO, IL 60601-5289
Phone number: 808-225-1989
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