Dr LARISSA MARIE CHISM is a female medical professional, specializing in Psychiatry. She graduated in 2002 from Temple University School Of Medicine.
OAKLAWN PSYCHIATRIC CENTER INC
2600 OAKLAND AVE
ELKHART
IN
465171533
Tel: 5745331234
| Npi | 1952460933 |
| Pac Id | 2769579069 |
| Professional Enrollment Id | I20080805000038 |
| Last Name | CHISM |
| First Name | LARISSA |
| Middle Name | MARIE |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | PSYCHIATRY |
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| Organization Legal Name | OAKLAWN PSYCHIATRIC CENTER INC |
| Group Practice Pac Id | 6002801065 |
| Number Of Group Practice Members | 51 |
| Line 1 Street Address | 2600 OAKLAND AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | ELKHART |
| State | IN |
| Zip Code | 465171533 |
| Phone Number | 5745331234 |
| Hospital Affiliation Ccn 1 | 150018 |
| Hospital Affiliation Lbn 1 | ELKHART GENERAL HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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