MEDICARE: DR. TISA ANNE MORRIS-CHRISTIAN M.D.,MPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	036101122	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497866065
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TISA ANNE MORRIS-CHRISTIAN M.D.,MPH

Provider Business Mailing Address
First Line	:	10225 W LINCOLN HWY
Second Line	:
City	:	FRANKFORT
State	:	IL
Zip	:	60423-1279
Country	:	US
Telephone Number	:	815-464-0081
Fax Number	:	815-464-0538

Provider Business Practice Location Address
First Line	:	10225 W LINCOLN HWY
Second Line	:
City	:	FRANKFORT
State	:	IL
Zip	:	60423-1279
Country	:	US
Telephone Number	:	815-464-0081
Fax Number	:	815-464-0538

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	02/10/2021

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