Individual
DR. MARCUS GREGORY TALERICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 VILLAGE GRN, #120, LINCOLNSHIRE, IL 60069-3094
(847) 634-1766
Mailing address
100 VILLAGE GRN, #120, LINCOLNSHIRE, IL 60069-3094
(847) 634-1766
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
036-119215
IL
207X00000X
Orthopaedic Surgery Physician
51315-20
WI
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
036-119215
IL
207XS0106X
Orthopaedic Hand Surgery Physician
51315-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61008
DEAN HEALTH INSURANCE
WI
Enumeration date
01/17/2006
Last updated
05/02/2022
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