Tisha Marie B Suboc
Medical Specialty
Professional ID
- NPI: 1871736413
- PECOS ID: 6406177435
- Enrollment ID: I20170825000419
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2009
Hospital Service
- Hospital CCN1: 140119
- Business Name (LBN)1: Rush University Medical Center
Medical Practices
- Organization Name: Rush University Medical Center
- Group Practice ID assigned by PECOS: 1153319850
- Number of Group Practice member: 41
Location
- Address1: 1725 W Harrison St
- Address2: Suite 1159
- City: Chicago
- State: Illinois
- Zip Code: 60612
- Phone Number: (312)942-5020
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):