Individual
DR. JONATHAN BAUTISTA TANAWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1969 W OGDEN AVE, CHICAGO, IL 60612-3765
(312) 864-0516
(312) 491-5020
Mailing address
1431 N WESTERN AVE STE 406, CHICAGO, IL 60622-1774
(312) 633-5841
(312) 491-5020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036.170234
IL
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
036.170234
IL
Other
Enumeration date
06/08/2021
Last updated
08/26/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us