Hawk, Tiffany Marie

Hawk, Tiffany Marie is an individual health care provider with primary practice located at 5080 N Elston Ave , Chicago IL 60630-2459. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Hawk, Tiffany Marie can be contacted via phone (312) 789-6894.

Contact Information

Primary practice address
5080 N Elston Ave Chicago IL 60630-2459
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Illinois
Other Service Providers / Peer Specialist 175T00000X Illinois

Profile Details

NPI number 1821672676
LBN Legal business name Hawk, Tiffany Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2021
Last updated May 7th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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