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Tiffany Tahata, DO — NPI 1942820337, Chicago, IL | NPI Central

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NPI 1942820337

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Tiffany Tahata, DO

NPI 1942820337 · Addiction Medicine (Internal Medicine) Physician · Chicago, IL

Provider details

NPI number: 1942820337
Entity type: Individual
Primary specialty: Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
Credential: DO
Sex: Female
Sole proprietor: Yes
License: 036165203 (IL)

Specialties & taxonomies

Addiction Medicine (Internal Medicine) PhysicianPrimary207RA0401XLicense 036165203 (IL)
Allopathic & Osteopathic Physicians

Practice location

1725 W Harrison St

Chicago, IL 60612-3841

Phone: (312) 942-5000

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

345 E Wacker Dr Apt 701

Chicago, IL 60601-5289

Additional practice locations (1)

147 N Brent St
Ventura, CA 93003-2809
Phone: (805) 948-5672

Registry dates

Enumerated: 2020-04-25
Last updated: 2024-06-25
Certified: 2024-06-25

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.