Individual provider · Type 1 NPI

Tiffany Douglas

Driver · Joliet, IL

NPI number 1386022085 Active

Practice location

1256 W Jefferson St, Suite 104
Joliet, IL 60435-6886

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XNone listed

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

3 other providers at this address

About NPI 1386022085

Tiffany Douglas's National Provider Identifier is 1386022085, issued on May 13, 2015. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Joliet, IL. The record was last updated on May 13, 2015.