Cornelia V. Tandez, M.d.,ltd

NPI #1356514434 in Niles, Illinois

Provider Information

NPI Number: 1356514434
Entity Type: Organization
Organization Name: Cornelia V. Tandez, M.d.,ltd
Primary Specialty: Clinic/Center
Enumeration Date: Apr 9, 2008
Last Updated: Apr 9, 2008

Practice Location

Address: 8248 W BALLARD RD
City: Niles
State: Illinois
ZIP Code: 60714-1544
Phone: (773) 327-2760

Authorized Official

Name: CORNELIA VILLASAN TANDEZ, M.D.
Title: PRESIDENT
Phone: (847) 298-6153

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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