Individual
JACOB EZRA TALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(888) 824-0200
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
01096755A
IN
208800000X
Urology Physician
Primary
036176423
IL
208800000X
Urology Physician
318971-01
NY
Other
Enumeration date
04/09/2018
Last updated
11/10/2025
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