Individual
ISLEY TIANA MARTINS-CORREIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
9555 S 52ND AVE, OAK LAWN, IL 60453-3054
(708) 422-5700
(708) 422-8225
Mailing address
9555 S 52ND AVE, OAK LAWN, IL 60453-3054
(708) 422-5700
(708) 422-8225
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125082484
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2023
Last updated
06/12/2023
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