Dr. Alisha Ronette Tillman, DO
Family Medicine in Chicago, IL. Individual provider (NPI-1).
NPI number1003676321
StatusActive
Last updated in NPPESJul 25, 2024
Details
- NPI
- 1003676321
- Entity type
- Individual (NPI-1)
- Name
- Dr. Alisha Ronette Tillman
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2024
- Certification date
- Jul 25, 2024
- Last updated
- Jul 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 125085011 | IL | Yes |
Practice location
3860 W Ogden AveChicago, IL 60623-2460
Phone 872-588-3000
Mailing address
3860 W Ogden AveChicago, IL 60623-2460
Phone 872-588-3000
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