Tiffany Marie Migon, APN
Nurse Practitioner, Family in Burr Ridge, IL. Individual provider (NPI-1).
NPI number1609225358
StatusActive
Last updated in NPPESJul 12, 2023
Details
- NPI
- 1609225358
- Entity type
- Individual (NPI-1)
- Name
- Tiffany Marie Migon
- Credential
- APN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 3, 2016
- Certification date
- Jul 12, 2023
- Last updated
- Jul 12, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 209.014252 | IL | Yes |
Practice location
6101 S County Line RdBurr Ridge, IL 60527-8132
Phone 630-686-9000 · Fax 844-235-2578
Mailing address
Po Box 713260Chicago, IL 60677-1260
Phone 630-469-9200
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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