Organization Active NPI

Cornelia V. Tandez,MD,LTD

  • Pediatrics Physician
  • Arlington HTS, IL
National Provider Identifier
1023683513
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CORNELIA V. TANDEZ,MD,LTD
Practice address
637 E Golf Rd Ste 209
Arlington HTS, IL 60005-4070
Phone
(847) 258-5098
Fax
(847) 258-5061
NPI assigned
May 26, 2021
Last updated
May 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cornelia Tandez, MDNPI 1568555951
Title
Owner
Phone
(847) 962-0149

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

637 E Golf Rd Ste 209
Arlington HTS, IL 60005-4070

Mailing address

8248 W Ballard Rd
Niles, IL 60714-1544
Phone (847) 962-0149

Other identifiers 1

IdentifierTypeStateIssuer
036086199MedicaidIL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2236528Cornelia V Tandez MD Pediatric Clinic637 E Golf Rd - Ste 209, Arlington Heights, IL 60005Certificate of waiverSep 16, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1023683513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8248 W BALLARD RD",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141544",
            "telephone_number": "847-962-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 E GOLF RD STE 209",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600054070",
            "telephone_number": "847-258-5098",
            "fax_number": "847-258-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNELIA V. TANDEZ,MD,LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "TANDEZ",
        "authorized_official_first_name": "CORNELIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-962-0149",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036086199",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington HTS, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.