Provider Demographics
NPI:1558753756
Name:TESS MEDICAL CENTER INC
Entity Type:Organization
Organization Name:TESS MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RADWAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAIKH
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:773-517-7835
Mailing Address - Street 1:6824 W 65TH ST APT 5
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60638-4967
Mailing Address - Country:US
Mailing Address - Phone:773-517-7835
Mailing Address - Fax:
Practice Address - Street 1:6824 W 65TH ST APT 5
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60638-4967
Practice Address - Country:US
Practice Address - Phone:773-517-7835
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-24
Last Update Date:2015-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health