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Search › Illinois › 164W00000X

Tiffany Ray

NPI 1174455919 · on the registry since 2026 · sole proprietor

Practice

Address
16150 Cicero Ave Ste 12
Oak Forest, IL 60452
Phone
(708) 580-0119
Organisation at this address
Pour Connections
Dominion Care Network Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-06-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois