Provider Demographics
NPI:1497866065
Name:MORRIS-CHRISTIAN, TISA ANNE (MD,MPH)
Entity Type:Individual
Prefix:DR
First Name:TISA
Middle Name:ANNE
Last Name:MORRIS-CHRISTIAN
Suffix:
Gender:F
Credentials:MD,MPH
Other - Prefix:DR
Other - First Name:TISA
Other - Middle Name:ANNE
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:10225 W LINCOLN HWY
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-1279
Mailing Address - Country:US
Mailing Address - Phone:815-464-0081
Mailing Address - Fax:815-464-0538
Practice Address - Street 1:10225 W LINCOLN HWY
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IL
Practice Address - Zip Code:60423-1279
Practice Address - Country:US
Practice Address - Phone:815-464-0081
Practice Address - Fax:815-464-0538
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036101122207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036101122Medicaid
IL036101122Medicaid