Individual
DR. TISHA MARIE BORROMEO SUBOC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1725 W HARRISON ST STE 1159, CHICAGO, IL 60612-3883
(312) 942-5020
Mailing address
1725 W. HARRISON ST., SUITE 1159, CHICAGO, IL 60612
(312) 942-5020
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
036-135917
IL
207RC0000X
Cardiovascular Disease Physician
036-139517
IL
Other
Enumeration date
04/13/2009
Last updated
04/30/2021
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