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Tatisha Clemons
NPI 1265887939 · on the registry since 2016 · sole proprietor
Practice
- Address
- 10507 S Western Ave
Chicago, IL 60643 - Phone
- (773) 425-4702
- Fax
- (773) 634-8092
- Organisation at this address
- Express Charter, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Sex
- Female
- Record last updated
- 2016-05-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois