Individual
MANUELA TEJADA TOBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4220 W 95TH ST, OAK LAWN, IL 60453-2793
(312) 949-4200
(708) 423-1899
Mailing address
600 S PAULINA ST, CHICAGO, IL 60612-3806
(312) 942-2729
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125.086641
IL
Other
Enumeration date
06/14/2025
Last updated
01/11/2026
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