Individual
TISHI M ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2242 S PRINCETON AVE, CHICAGO, IL 60616-1865
(312) 218-4241
Mailing address
2345 S WENTWORTH AVE UNIT 166582, CHICAGO, IL 60616-9129
(312) 783-4071
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
IL
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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