SearchIllinois101YM0800X

Tiana Ghazzali

NPI 1831808096 · on the registry since 2022 · sole proprietor

Practice

Address
6700 S Clyde Ave Apt 1n
Chicago, IL 60649
Phone
(312) 774-3613

Additional practice sites

  • 111 N County Farm Rd, Wheaton, IL
  • 115 N County Farm Rd, Wheaton, IL

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
103TS0200X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-05-07

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