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Individual

DR. LOUIS J TISOVEC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1006 WILLIAMSON CIR, ROCKTON, IL 61072-3307
(815) 624-0701
Mailing address
1006 WILLIAMSON CIR, ROCKTON, IL 61072-3307
(815) 624-0701

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036042461
IL

Other

Enumeration date
04/15/2011
Last updated
04/15/2011
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