Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jonathan Bautista Tanawan, MD

Individual provider Family Medicine Physician · NPI 1609443571

Dr. Jonathan Bautista Tanawan, MD is a Family Medicine Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2021.

Licensed in
IL
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1969 W Ogden Ave
Chicago, IL 60612-3765
Phone: (312) 864-0516
Fax: (312) 491-5020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Family Medicine) Physician (primary) Taxonomy 207QA0401X · Licence 036.170234 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 036.170234 (IL)

Record details

NPI number1609443571
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 8, 2021
Last updated in NPPESAugust 26, 2025
Certification dateAugust 26, 2025

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