Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TISHIEKA HOLLINGSWORTH
Active Sole ProprietorTISHIEKA HOLLINGSWORTH is a Homemaker healthcare provider located in PARK FOREST, Illinois. NPI 1053910505 is currently active in the NPPES registry. Verify at CMS.
Homemaker · PARK FOREST, IL
Registration Details
- NPI Number
- 1053910505
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 25, 2020 (5.6584093297368 yrs)
- Last Updated
- Oct 25, 2020
- Licenses
-
3001188 (IL)3001188 (IL)3001188 (IL)3001188 (IL)3001188 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
220 FOREST BLVDPARK FOREST, IL, 604662032Browse IL providers · Browse ZIP 60466
- Phone
- 7089801018
- Fax
- 8666303186
- Primary Specialty
-
Homemaker
376J00000X
- Additional Specialty
- Podiatric Surgery
- Additional Specialty
- Foot & Ankle Surgery
- Additional Specialty
- Home Health Aide
- Additional Specialty
- Homemaker
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.