Individual
DR. MICHAEL VINCENT TALLARICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 CALUMET AVE, DYER, IN 46311
(219) 924-8178
Mailing address
1001 CALUMET AVE, DYER, IN 46311-1596
(219) 924-7178
(219) 924-8179
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125058221
IL
207RX0202X
Medical Oncology Physician
Primary
01078614A
IN
Other
Enumeration date
06/17/2010
Last updated
03/16/2021
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