Tiffany Burks

NPI 1710658950 · on the registry since 2021

Practice

Address: 3300 175th St
Hazel Crest, IL 60429
Phone: (708) 654-6921
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