Individual provider · Type 1 NPI
Tiffani Gans, PSYCHIATRIC MENTAL H
Psychiatric/Mental Health Nurse Practitioner · Bolingbrook, IL
NPI number
1730031121
Active
Practice location
440 W Boughton Rd Ste E
Bolingbrook, IL 60440-2391
Mailing address
24541 S Moorman Ave
Channahon, IL 60410-9793
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 209033896 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1730031121
Tiffani Gans, PSYCHIATRIC MENTAL H's National Provider Identifier is 1730031121, issued on Feb 10, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Bolingbrook, IL. The record was last updated on Feb 10, 2026.