Individual provider · Type 1 NPI

Tiffany Tahata, DO

Addiction Medicine (Internal Medicine) Physician · Chicago, IL

NPI number 1942820337 Active

Practice location

1725 W Harrison St
Chicago, IL 60612-3841

Mailing address

345 E Wacker Dr Apt 701
Chicago, IL 60601-5289

Other practice locations

  • 147 N Brent St, Ventura, CA 93003-2809 · (805) 948-5672

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Internal Medicine) Physician Primary 207RA0401X036165203 (IL)

Addiction Medicine (Internal Medicine) Physician: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

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About NPI 1942820337

Tiffany Tahata, DO's National Provider Identifier is 1942820337, issued on Apr 25, 2020. The primary taxonomy on file is Addiction Medicine (Internal Medicine) Physician (207RA0401X), and the practice location is in Chicago, IL. The record was last updated on Jun 25, 2024.