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Search › Illinois › 164W00000X

Tanica Dumas

NPI 1659042794 · on the registry since 2021 · sole proprietor

Practice

Address
3300 175th St
Hazel Crest, IL 60429
Phone
(708) 335-2400
Organisation at this address
Imperial Of Hazel Crest
Pine Crest Health Care Llc
Imperial Manor Of Hazel Crest, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

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
2021-09-27

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