Courtland Tisdale, PH.D

NPI 1558527531 · on the registry since 2008 · sole proprietor

Practice

Address: 233 E Erie St
Ste 706
Chicago, IL 60611
Phone: (847) 323-3593
Organisation at this address: Gema
Millenova
Anc Counseling
Ioanna K Chaney
East Erie Dental
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 60

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-07-30

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