Tellez Medical Center SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TELLEZ MEDICAL CENTER SC

Practice address

9206 S Commercial Ave
Chicago, IL 60617-4508

Phone

(773) 978-0707

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

Juan L Tellez, MD

Title

Ceo

Phone

(773) 978-0707

Specialties & licenses 1

Addresses

Practitioners 3

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

• James P Kanellos, DDS

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1255322038
  NPD (past)
• Bill J Kotis, DDS

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1497746739
  NPD (past)
• Georgia Vlachogiannis, DDS

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1275524050
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548115200000",
    "number": "1659324788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 967",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604770967",
            "telephone_number": "708-532-6029",
            "fax_number": "708-468-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9206 S COMMERCIAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606174508",
            "telephone_number": "773-978-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELLEZ MEDICAL CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2019-01-22",
        "status": "A",
        "authorized_official_last_name": "TELLEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-978-0707",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Telford, PSY.D.
• Elizabeth Telichowski, MHP
• Mojisola S Tella, RN
• Sreeshma Tellapuri, MD
• Judith S. Tellerman, PH.D.
• Claudia Tellez, MD
• Juan L Tellez, MD
• Patricia Tellez, LSW
• Nicolette Tello, RN, CCRN
• Telos Therapy, LLC

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.