| Cornelia V. Tandez, M.d.,ltd | |
|
8248 W Ballard Rd Niles IL 60714-1544 | |
| (773) 327-2760 | |
| (773) 327-2764 |
| Full Name | Cornelia V. Tandez, M.d.,ltd |
|---|---|
| Speciality | Clinic/center |
| Location | 8248 W Ballard Rd, Niles, Illinois |
| Authorized Official Name and Position | Cornelia Villasan Tandez (PRESIDENT) |
| Authorized Official Contact | 8472986153 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornelia V. Tandez, M.d.,ltd 3000 N Halsted Advocate Illinois Masonic Medical Office Center Chicago IL 60657 Ph: (773) 327-2760 | Cornelia V. Tandez, M.d.,ltd 8248 W Ballard Rd Niles IL 60714-1544 Ph: (773) 327-2760 |
| NPI Number | 1356514434 |
|---|---|
| Provider Enumeration Date | 04/09/2008 |
| Last Update Date | 04/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356514434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Illinois) | Primary |
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