Search › Illinois › 172A00000X
Tiffany Douglas
NPI 1386022085 · on the registry since 2015
Practice
- Address
- 1256 W Jefferson St
Suite 104
Joliet, IL 60435 - Phone
- (815) 582-4711
- Organisation at this address
- Divine Drive, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Sex
- Female
- Record last updated
- 2015-05-13
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