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

Tara A De Jesus, MD

Individual provider Pediatrics Physician · NPI 1477590651

Tara A De Jesus, MD is a Pediatric Medicine in Chicago, Illinois. Graduated from Rush Medical College of Rush University in 1999, 27 years ago. Practices with Lawndale Christian Health Center, a 123-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
27
Trained at
Rush Medical College of Rush University
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

3860 W Ogden Ave
Chicago, IL 60623-2460
Phone: (872) 588-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 036108171 (IL)

Record details

NPI number1477590651
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 31, 2006
Last updated in NPPESMarch 7, 2023
Certification dateOctober 22, 2021

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolRUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated 1999 (27 years in practice)
Group practice Lawndale Christian Health Center — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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