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Medical Associates of Illinois Sc

Internal Medicine Physician in Elmwood Park, IL · enumerated 2013 · authorized official Frederick Tiesenga, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164868618

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Registry record

Entity type Organization (Type 2)
Legal business name Medical Associates of Illinois Sc
Practice address 1950 N Harlem Ave, Elmwood Park, IL, 60707
Fax (708) 452-7515
Enumeration date May 10, 2013
Last updated in NPPES Feb 6, 2014

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Frederick Tiesenga
Title President

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Medical Associates of Illinois Sc?
The NPI for Medical Associates of Illinois Sc is 1164868618, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Medical Associates of Illinois Sc?
NPPES lists Frederick Tiesenga (President) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-02-06.