Individual
AUSTIN JOSEPH TISDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1750 W HARRISON ST STE 739, CHICAGO, IL 60612-3825
(312) 942-7100
Mailing address
1750 W HARRISON ST STE 739, CHICAGO, IL 60612-3825
(312) 942-3134
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
125.081351
IL
Other
Enumeration date
04/25/2023
Last updated
06/13/2023
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