NPI

Tiffany Tahata

NPI 1942820337

Read from the NPPES registry on October 24, 2026.

Facts

Status
Active
Credential
DO
Type
Individual
Enumeration date
2020-04-25
Last updated
2024-06-25

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Specialties

Licenses

License IL
036165203

Location

Practice location
1725 W Harrison St
City
Chicago IL
Postal code
60612-3841
Phone
(312) 942-5000

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Internal Medicine, Addiction Medicine providers in Chicago, IL. 9 with this primary taxonomy in the public file.

Other NPIs in Chicago, IL. 81,186 records in the public file.

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