Tilisha Harrison, is a
Social Worker - Clinical based in Round Lake, Illinois. Tilisha Harrison is licensed to practice in Illinois (license number 149017815) and her current practice location is
31979 N Fish Lake Rd, Round Lake, Illinois. She can be reached at her office (for appointments etc.) via phone at
(847) 546-6450.
NPI number for Tilisha Harrison is 1386194231 and her current mailing address is 1331 N Harlem Ave, 2f, Oak Park, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386194231.
Healthcare Provider's Profile
Full Name | Tilisha Harrison |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 31979 N Fish Lake Rd, Round Lake, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1386194231
- Provider Enumeration Date: 10/04/2016
- Last Update Date: 04/20/2017
Medical Identifiers
Medical identifiers for Tilisha Harrison such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386194231 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 149017815 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tilisha Harrison is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tilisha Harrison, 1331 N Harlem Ave, 2f, Oak Park, IL 60302-1388 Ph: (708) 323-5577 | Tilisha Harrison, 31979 N Fish Lake Rd, Round Lake, IL 60073-9517 Ph: (847) 546-6450 |
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