Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Frederick M Tiesenga, MD

Individual provider Surgery Physician · NPI 1801875679

Frederick M Tiesenga, MD is a General Surgery in Elmwood Park, Illinois. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 1991, 35 years ago. Practices with Tiesenga Surgical Associates SC, a 7-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
35
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
IL
In the registry since
2006
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

1950 N Harlem Ave
Elmwood Park, IL 60707-3717
Phone: (708) 453-6800
Fax: (708) 453-3235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 36086475 (IL)

Record details

NPI number1801875679
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 11, 2006
Last updated in NPPESApril 26, 2022
Certification dateApril 26, 2022
Mailing address1950 N Harlem Ave, Elmwood Park, IL 60707

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 1991 (35 years in practice)
Group practice Tiesenga Surgical Associates Sc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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