Individual provider · Type 1 NPI

Tiffany Hartman

Nurse Practitioner · Bourbonnais, IL

NPI number 1194608927 Active

Practice location

6712 N Convent St
Bourbonnais, IL 60914-1528

Fax (815) 928-8932

Mailing address

900 Rand Rd Ste 300
Des Plaines, IL 60016-2359

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X041-402210 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1194608927

Tiffany Hartman's National Provider Identifier is 1194608927, issued on Jul 29, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bourbonnais, IL. The record was last updated on Jul 29, 2025.