Tisa Mathew
NPI #1649738444 in Hanover Park, Illinois
Provider Information
- NPI Number
- 1649738444
- Entity Type
- Individual
- Name
- Tisa Mathew
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse
- Enumeration Date
- Mar 11, 2019
- Last Updated
- Mar 11, 2019
Practice Location
- Address
- 5545 CAMBRIDGE WAY
- City
- Hanover Park
- State
- Illinois
- ZIP Code
- 60133-3656
- Phone
- (630) 415-6510
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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