Tenhundfeld, John W
Tenhundfeld, John W is an individual health care provider with primary practice located at 1317 W Diversey Pkwy , Chicago IL 60614-1207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Tenhundfeld, John W can be contacted via phone (773) 665-9355.Contact Information
Primary practice address
1317 W Diversey Pkwy
Chicago IL 60614-1207
Phone: (773) 665-9355
Fax: (773) 665-0403
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036091599 | Illinois |
Profile Details
| NPI number | 1770578866 |
|---|---|
| LBN Legal business name | Tenhundfeld, John W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Feb 26th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770578866 | NPPES |
| Illinois | MEDICAID | 036091599 |
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