# CORNELIA V. TANDEZ, M.D.,LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356514434
- **Authorized official:** CORNELIA VILLASAN TANDEZ M.D. (PRESIDENT)
- **Authorized official phone:** (847) 298-6153

## Contact information

- **Practice address:** 8248 W BALLARD RD, NILES, IL 60714-1544
- **Practice address phone:** (773) 327-2760
- **Practice address fax:** (773) 327-2764
- **Mailing address:** 3000 N HALSTED, ADVOCATE ILLINOIS MASONIC MEDICAL OFFICE CENTER, CHICAGO, IL 60657
- **Mailing address phone:** (773) 327-2760
- **Mailing address fax:** (773) 327-2764

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | IL | Yes |

## Other

- **Enumeration date:** 04/09/2008
- **Last updated:** 04/09/2008