Tiffany Willis

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

041.472068 Issued in IL

Practice address

5322 S Kimbark Ave Apt 1N
Chicago, IL 60615-5232

Phone

(312) 363-9869

NPI assigned

May 18, 2026

Last updated

May 18, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1779062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1275462848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5322 S KIMBARK AVE APT 1N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606155232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5322 S KIMBARK AVE APT 1N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606155232",
            "telephone_number": "312-363-9869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "TIFFANY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.472068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michawn Willis, PHARM D
• Michelle L Willis, PA-C
• Payton Willis
• Stephanie Willis, LCPC, CADC
• Taylor Danielle Willis, BCBA
• Trichia Willis, OTR/L
• Victoria Willis
• Paula Willoughby Dejesus, DO
• Rebekah Leigh Willoughby, AUD
• Stewart Gordon Willoughby, DDS LDS RCS MS

• Registered Nurse in Chicago, IL
• Providers in Chicago, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.