# RODRIGUE TINFANG MD FAMILY HEALTH LTD

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

## Provider details

- **NPI number:** 1518359991
- **Authorized official:** DR. RODRIGUE MEYOU TINFANG M.D (PRESIDENT)
- **Authorized official phone:** (708) 977-0196

## Contact information

- **Practice address:** 4909 W DIVISION ST, SUITE 503, CHICAGO, IL 60651-3161
- **Practice address phone:** (773) 626-8833
- **Practice address fax:** (773) 626-1635
- **Mailing address:** 4909 W DIVISION ST STE 503, CHICAGO, IL 60651-3161
- **Mailing address phone:** (773) 626-8833
- **Mailing address fax:** (773) 626-1635

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 036114443 | IL | Yes |

## Other

- **Enumeration date:** 02/23/2015
- **Last updated:** 09/09/2021