Organization
ELLIS J TALBERT, MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIS JAY TALBERT MD (OWNER)
(630) 986-5106
Entity
Organization
Contact information
Practice address
7000 S ADAMS ST, SUITE 240, WILLOWBROOK, IL 60527-8453
(630) 986-5106
(630) 986-5119
Mailing address
7000 S ADAMS ST, SUITE 240, WILLOWBROOK, IL 60527-8453
(630) 986-5106
(630) 986-5119
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036076981
IL
Other
Enumeration date
11/09/2007
Last updated
07/08/2013
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