Individual
EMPRYSS TOLLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2900 N LAKE SHORE DR, CHICAGO, IL 60657-5640
(240) 486-9544
Mailing address
5008 TOWNSEND WAY APT A1, BLADENSBURG, MD 20710-1849
(240) 486-9544
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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