Provider Demographics
NPI:1871810291
Name:FRANADA, TIFFANI STROUP (DO)
Entity type:Individual
Prefix:
First Name:TIFFANI
Middle Name:STROUP
Last Name:FRANADA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:TIFFANI
Other - Middle Name:SUE
Other - Last Name:STROUP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:757 PARK AVE W STE 2850
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-2558
Mailing Address - Country:US
Mailing Address - Phone:847-570-2570
Mailing Address - Fax:
Practice Address - Street 1:757 PARK AVE W STE 2850
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035-2558
Practice Address - Country:US
Practice Address - Phone:847-570-2570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-25
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0361332482084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology