Individual
JUAN L TELLEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9206 S COMMERCIAL AVE, CHICAGO, IL 60617-4508
(773) 978-0707
Mailing address
9206 S COMMERCIAL AVE, CHICAGO, IL 60617-4508
(773) 978-0707
(773) 978-6140
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036098451
IL
Other
Enumeration date
05/12/2006
Last updated
02/21/2019
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