Tiffany Erin O'hern PA-C

NPI 1285073841 - Physician Assistant - 363AM0700X

NPI Details
NPI 1285073841
Gender Female
Enumeration Date 06/17/2013
Last Updated 10/29/2015
Entity Type Individual
Active Over 3 years ago
Practice Location
1532 CALUMET AVE
DYER IN, 46311-1505, US
Phone (219) 323-8700
Fax
Business Location
401 N MICHIGAN AVENUE
SUITE 1200
CHICAGO IL, 60611-4264, US
Phone (312) 635-0973
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State Illinois
License Number 085004675
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According to our database, Mrs. Tiffany Erin O'hern PA-C NPI is 1285073841, taxonomy code is 363AM0700X and license number is 085004675, license state is located at Illinois. Tiffany Erin O'hern PA-C physically located at 1532 Calumet Ave, Dyer IN, 46311-1505. NPI Number Tiffany Erin O'hern PA-C has the Individual type.

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1285073841 NPI number is provided on an as is basis without warranty of any kind. 1285073841 is maintained by the National Plan & Provider Enumeration System. The contents of Tiffany Erin O'hern PA-C are for informational purposes only.