Cornelia V. Tandez, M.D.,LTD

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CORNELIA V. TANDEZ, M.D.,LTD

Practice address

8248 W Ballard Rd
Niles, IL 60714-1544

Phone

(773) 327-2760

Fax

(773) 327-2764

NPI assigned

Apr 9, 2008

Organization subpart

No

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

Authorized official

Name

Cornelia Villasan Tandez, M.D.

Title

President

Phone

(847) 298-6153

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cornelia Yillasan Tandez, MD

  • Pediatrics Physician
  • Chicago, IL
  • NPI 1568555951
  NPD (past)

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1356514434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N HALSTED",
            "address_2": "ADVOCATE ILLINOIS MASONIC MEDICAL OFFICE CENTER",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60657",
            "telephone_number": "773-327-2760",
            "fax_number": "773-327-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8248 W BALLARD RD",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141544",
            "telephone_number": "773-327-2760",
            "fax_number": "773-327-2764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNELIA V. TANDEZ, M.D.,LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "TANDEZ",
        "authorized_official_first_name": "CORNELIA",
        "authorized_official_middle_name": "VILLASAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-298-6153",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mary Elizabeth Conte, M.D.
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• Anthony J Cortesi
• Calli Cosentino, MS
• Costco Wholesale Corporation (Costco Hearing Aid #383)

• Clinic/Center in Niles, IL
• Providers in Niles, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.