Tanawan, Jonathan Bautista

Tanawan, Jonathan Bautista is an individual health care provider with primary practice located at 1431 N Western Ave Ste 406 , Chicago IL 60622-1774. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Tanawan, Jonathan Bautista can be contacted via phone (312) 633-5841.

Contact Information

Primary practice address
1431 N Western Ave Ste 406 Chicago IL 60622-1774
Phone: (312) 633-5841
Fax: (312) 491-5020
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 036.170234 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036.170234 Illinois

Profile Details

NPI number 1609443571
LBN Legal business name Tanawan, Jonathan Bautista
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2021
Last updated May 13th, 2024 - 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.

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