Individual
ANDREA TEKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9730 S WESTERN AVE STE 500, EVERGREEN PARK, IL 60805-2780
(708) 425-7337
(708) 636-3485
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
(847) 390-4757
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01071329A
IN
208000000X
Pediatrics Physician
Primary
036.167598
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
191360001
MEDICARE
IN
05
—
201110420
—
IN
Enumeration date
09/28/2009
Last updated
04/05/2024
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