Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1991
NPI: 1801875679
Practice Locations (1)
TIESENGA SURGICAL ASSOCIATES SC
1950 N HARLEM AVE
ELMWOOD PARK, IL 607073717
7084536800
Source: CMS National Downloadable File, September 2026.