Organization
CORNELIA V. TANDEZ, M.D.,LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORNELIA VILLASAN TANDEZ M.D. (PRESIDENT)
(847) 298-6153
Entity
Organization
Contact information
Practice address
8248 W BALLARD RD, NILES, IL 60714-1544
(773) 327-2760
(773) 327-2764
Mailing address
3000 N HALSTED, ADVOCATE ILLINOIS MASONIC MEDICAL OFFICE CENTER, CHICAGO, IL 60657
(773) 327-2760
(773) 327-2764
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
IL
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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