Tara A De Jesus
M.D. | Pediatrics | Female
Tara A De Jesus, M.D. is a Chicago, Illinois based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Tara A De Jesus is
3860 W Ogden Ave, Chicago, Illinois - 60623-2460. She can be contacted on phone at
872-588-3000.
Tara A De Jesus is a sole proprietor of her business.
NPI number (Unique professional ID) for Tara A De Jesus is
1477590651 which was assigned by NPPES on 31 May, 2006 and it was last updated on 07 Mar, 2023.
Tara A De Jesus license number is
036108171 for Pediatrics (208000000X) in Illinois.
Tara A De Jesus is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Tara A De Jesus basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Tara A De Jesus |
|---|
| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Tara A De Jesus address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3860 W Ogden Ave
Chicago, IL, 60623-2460
United States |
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| Phone Number : | 872-588-3000 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1477590651 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 31 May, 2006 |
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| Last Updated On : | 07 Mar, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tara A De Jesus are as mentioned. Primary taxonomy code for Tara A De Jesus, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 036108171 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Tara A De Jesus such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 036108171 | Other (non-Medicare) | IL | State License |
| 336069630 | Other (non-Medicare) | IL | CS License |
| 367830 | MEDICARE PIN | | |
| I49917 | MEDICARE UPIN | IL | |
| K25581 | MEDICARE PIN | IL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3229-43 W 47th Pl.
Chicago, IL, 60632-3011
United States |
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| Phone Number : | 773-254-6044 |
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| Fax Number : | 773-254-6115 |
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Business Location:
Patients can refer following map for directions to
Tara A De Jesus practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.