Individual
SARAH TISSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
645 LANDWEHR RD, NORTHBROOK, IL 60062-2309
(224) 306-9464
(224) 306-9524
Mailing address
725 PINE ST, DEERFIELD, IL 60015-4011
(818) 263-0404
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036083810
IL
261Q00000X
Clinic/Center
036083810
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
277003835
IL
Other
Enumeration date
08/03/2021
Last updated
04/24/2025
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