Individual
ALEXANDER TISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
840 W IRVING PARK RD STE 302, CHICAGO, IL 60613-3011
(773) 659-9207
Mailing address
840 W IRVING PARK RD STE 302, CHICAGO, IL 60613-3011
(773) 659-9207
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.022089
IL
Other
Enumeration date
11/16/2019
Last updated
02/18/2023
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