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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TIFFANY TAHATA, DO

Active Sole Proprietor

TIFFANY TAHATA, DO is a Addiction Medicine (Internal Medicine) healthcare provider located in CHICAGO, Illinois. NPI 1942820337 is currently active in the NPPES registry. Verify at CMS.

Addiction Medicine (Internal Medicine) · CHICAGO, IL

Registration Details

NPI Number
1942820337
Provider Type
Individual
Gender
Female
NPI Issued
Apr 25, 2020 (6.34046350223 yrs)
Last Updated
Jun 25, 2024
License
036165203 (IL)
Sole Proprietor
Yes

Practice Information

Address
1725 W HARRISON ST
CHICAGO, IL, 606123841
Browse IL providers · Browse ZIP 60612
Phone
3129425000
Primary Specialty
Addiction Medicine (Internal Medicine)
207RA0401X

Other Addiction Medicine (Internal Medicine) Providers in CHICAGO, IL

Name Credential NPI
MICHAEL D BALDINGER M.D. 1598879223
ABDEL FAHMY M.D. 1851485312
SAMANTHA CHIRUNOMULA QUARLESS MD 1639524119
DR. TYLER OLAN REESE MD 1144856451
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.