CORNELIA V. TANDEZ, M.D.,LTD
NPI 1356514434
Clinic/Center in Niles, IL

Active since April 09, 2008
8248 W BALLARD RD, NILES, IL 60714(773) 327-2760(773) 327-2764 Get Directions Write a Review

NPPES record last updated: April 9, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center

About CORNELIA V. TANDEZ, M.D.,LTD

This page provides the complete NPI Profile along with additional information for Cornelia V. Tandez, M.d.,ltd, a provider established in Niles, Illinois operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1356514434 assigned on April 2008. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Cornelia Villasan Tandez M.d. (President)

NPI
1356514434 Verify this NPI
Provider Name
CORNELIA V. TANDEZ, M.D.,LTD
Entity Type
Organization
Location Address
8248 W BALLARD RD NILES, IL 60714
Location Phone
(773) 327-2760
Location Fax
(773) 327-2764
Mailing Address
3000 N HALSTED ADVOCATE ILLINOIS MASONIC MEDICAL OFFICE CENTER CHICAGO, IL 60657
Mailing Phone
(773) 327-2760
Mailing Fax
(773) 327-2764
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-09-2008
Last Update Date
04-09-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License State
IL
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CORNELIA VILLASAN TANDEZ M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(847) 298-6153

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356514434, enumerated as an "organization" on April 09, 2008.

The provider is located at 8248 W BALLARD RD NILES, IL 60714 and the phone number is (773) 327-2760.

Clinic/Center with taxonomy code 261Q00000X.