Frederick M Tiesenga (NPI# 1801875679, PAC ID# 9133208085) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1801875679 |
| PAC ID by PECOS | 9133208085 |
| Professional Enrollment ID | I20100911000085 |
| Full Name | Frederick M Tiesenga |
| Organization Legal Name | TIESENGA SURGICAL ASSOCIATES SC |
| Address |
1950 N Harlem Ave Elmwood Park IL 60707-3717 |
| Phone Number | 7084536800 |
| Gender | M |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1991 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 5597750901 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140049 | WEST SUBURBAN MEDICAL CENTER |
| 140251 | COMMUNITY FIRST MEDICAL CENTER |
| 140063 | RUSH OAK PARK HOSPITAL |
| 140240 | WESTLAKE COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1950 N Harlem Ave, Elmwood Park, IL 60707-3717 | 7084536800 | TIESENGA SURGICAL ASSOCIATES SC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | TIESENGA SURGICAL ASSOCIATES SC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Seema M Pillai | Nurse Practitioner | Tiesenga Surgical Associates Sc | 1950 N Harlem Ave, Elmwood Park, IL 60707-3717 |
| Scott A Reishus | Vascular Surgery | Tiesenga Surgical Associates Sc | 1950 N Harlem Ave, Elmwood Park, IL 60707-3717 |
| Charles B Schubert | General Surgery | Tiesenga Surgical Associates Sc | 1950 N Harlem Ave, Elmwood Park, IL 60707-3717 |
| Heather A Hall | Vascular Surgery | Tiesenga Surgical Associates Sc | 1950 N Harlem Ave, Elmwood Park, IL 60707-3717 |
| Athanasios D Diniotis | General Surgery | Tiesenga Surgical Associates Sc | 1950 N Harlem Ave, Elmwood Park, IL 60707-3717 |
| Christina I Crews | Nurse Practitioner | Tiesenga Surgical Associates Sc | 1950 N Harlem Ave, Elmwood Park, IL 60707-3717 |
| Juaquito M Jorge | General Surgery | Tiesenga Surgical Associates Sc | 1950 N Harlem Ave, Elmwood Park, IL 60707-3717 |
| Shiny E Saju | Nurse Practitioner | Tiesenga Surgical Associates Sc | 1950 N Harlem Ave, Elmwood Park, IL 60707-3717 |
| Rabia Z Bhatti | General Surgery | Tiesenga Surgical Associates Sc | 7447 W Talcott Ave, Suite 302, Chicago, IL 60631-3714 |
| Bruce C Dillon | General Surgery | Tiesenga Surgical Associates Sc | 1950 N Harlem Ave, Elmwood Park, IL 60707-3717 |
| Street Address |
1950 N HARLEM AVE |
| City | ELMWOOD PARK |
| State | IL |
| Zip | 60707-3717 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Seema M Pillai | Nurse Practitioner | Tiesenga Surgical Associates Sc | 1950 N Harlem Ave, Elmwood Park, IL 60707-3717 |
| Scott A Reishus | Vascular Surgery | Tiesenga Surgical Associates Sc | 1950 N Harlem Ave, Elmwood Park, IL 60707-3717 |
| Charles B Schubert | General Surgery | Tiesenga Surgical Associates Sc | 1950 N Harlem Ave, Elmwood Park, IL 60707-3717 |
| Heather A Hall | Vascular Surgery | Tiesenga Surgical Associates Sc | 1950 N Harlem Ave, Elmwood Park, IL 60707-3717 |
| Athanasios D Diniotis | General Surgery | Tiesenga Surgical Associates Sc | 1950 N Harlem Ave, Elmwood Park, IL 60707-3717 |
| Christina I Crews | Nurse Practitioner | Tiesenga Surgical Associates Sc | 1950 N Harlem Ave, Elmwood Park, IL 60707-3717 |
| Juaquito M Jorge | General Surgery | Tiesenga Surgical Associates Sc | 1950 N Harlem Ave, Elmwood Park, IL 60707-3717 |
| Shiny E Saju | Nurse Practitioner | Tiesenga Surgical Associates Sc | 1950 N Harlem Ave, Elmwood Park, IL 60707-3717 |
| Bruce C Dillon | General Surgery | Tiesenga Surgical Associates Sc | 1950 N Harlem Ave, Elmwood Park, IL 60707-3717 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael J Heatwole | Chiropractic | 7234 W N Ave, Suite 205, Elmwood Park, IL 60707 | |
| Amal I Alkhalafawi | Internal Medicine | 7613 W Belmont, Elmwood Park, IL 60707-1113 | |
| Belmina N Michael | Dermatology | 2735 N Harlem Ave, Chicago, IL 60707-1636 | |
| Stephen Ponton | Podiatry | Preferred Podiatry Group PC | 7733 W Grand Ave, Elmwood Park, IL 60707-1820 |
| Teresa Neeliyara | Psychologist, Clinical | 7733 W Grand Ave, Elmwood Park, IL 60707-1820 | |
| Linda H Morris | Physical Therapy | 2502 N Harlem Ave, Elmwood Park, IL 60707-2020 | |
| Tae H Sung | General Practice | 7035 W Grand Ave, Suite 105, Chicago, IL 60707-2143 | |
| Naveen Tipirneni | Pain Management | 2333 N Harlem Ave, Chicago, IL 60707-2718 | |
| Kathy A Meyer | Oral Surgery | Kathy Meyer Dds PC | 7544 W N Ave, Elmwood Park, IL 60707-2790 |
| Jordan W Case | Physical Therapy | Athletic and Therapeutic Institute of Naperville LLC | 6560 W Fullerton Ave, Chicago, IL 60707-3439 |
| Find all physicians in zip 60707 | |||
| City | ELMWOOD PARK |
| Zip Code | 60707 |
| Specialty | GENERAL SURGERY |
| City + Specialty | ELMWOOD PARK + GENERAL SURGERY |
Please comment or provide details below to improve the information on Frederick M Tiesenga.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.