Healthcare Provider Details

I. General information

NPI: 1235065392
Provider Name (Legal Business Name): TIFFANI HUNSINGER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

229 E BRENTWOOD ST
MORTON IL
61550-2568
US

IV. Provider business mailing address

229 E BRENTWOOD ST
MORTON IL
61550-2568
US

V. Phone/Fax

Practice location:
  • Phone: 309-655-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number041592106
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: