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Organization
CORNELIA V. TANDEZ,MD,LTD
Active
Organization
CORNELIA V. TANDEZ,MD,LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORNELIA TANDEZ MD (OWNER)
(847) 962-0149
Entity
Organization
Contact information
Practice address
637 E GOLF RD STE 209, ARLINGTON HTS, IL 60005-4070
(847) 258-5098
(847) 258-5061
Mailing address
8248 W BALLARD RD, NILES, IL 60714-1544
(847) 962-0149
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036086199
—
IL
Enumeration date
05/26/2021
Last updated
05/26/2021
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