Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 209.021088 | IL |
NPI | 1629699616 |
---|---|
Provider Name | Tiffany Ann Sayani |
First Address | Hoffman Estates, IL 60169-3768 |
Second Address | Elgin, IL 60123-2300 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2020 |
Last Update Date | 22/01/2021 |