Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JONATHAN BAUTISTA TANAWAN, MD
ActiveDR. JONATHAN BAUTISTA TANAWAN, MD is a Addiction Medicine (Family Practice) healthcare provider located in CHICAGO, Illinois. NPI 1609443571 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Family Practice) · CHICAGO, IL
Registration Details
- NPI Number
- 1609443571
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 8, 2021 (5.2146854602744 yrs)
- Last Updated
- Aug 26, 2025
- Licenses
-
036.170234 (IL)036.170234 (IL)
Practice Information
- Address
-
1969 W OGDEN AVECHICAGO, IL, 606123765Browse IL providers · Browse ZIP 60612
- Phone
- 3128640516
- Fax
- 3124915020
- Primary Specialty
-
Addiction Medicine (Family Practice)
207QA0401X
- Additional Specialty
- Addiction Medicine (Family Practice)
Other Addiction Medicine (Family Practice) Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| DR. RUCHI MISHRA FITZGERALD | M.D. | 1720060072 |
| DR. HUMBERTO VERGARA | M.D. | 1124004262 |
| DR. BRITT MICHAEL BORDEN | M.D. | 1841251378 |
| DR. DORA DEAN DIXIE | MD | 1225092919 |
| RICHARD L PLUMMER | MD | 1275587727 |
| DR. GLORIA J MOUZON | M.D. | 1205979028 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.