Healthcare Provider Details

I. General information

NPI: 1043153935
Provider Name (Legal Business Name): TIFFANY WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8344 S SANGAMON ST
CHICAGO IL
60620-3138
US

IV. Provider business mailing address

8344 S SANGAMON ST
CHICAGO IL
60620-3138
US

V. Phone/Fax

Practice location:
  • Phone: 773-678-0017
  • Fax:
Mailing address:
  • Phone: 773-678-0017
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number209.034643
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: