14D1069862 CLIA NUMBER - ELLIS J TALBERT MD SC

Laboratory Demographics

CLIA Number: 14D1069862

Facility Name: ELLIS J TALBERT MD SC

Facility Address:
7000 S ADAMS ST, STE 240
WILLOWBROOK, IL
ZIP 60527
Get Directions

Facility Phone Number: 630 986-5106

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1538257886

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	14D1069862
LAB Type	Physician Office
Facility Name	ELLIS J TALBERT MD SC
Street	7000 S ADAMS ST, STE 240
City	WILLOWBROOK
State	IL
ZIP	60527
Phone	630 986-5106
CertificateType	4
CertificateEffectiveDate	6/14/2023
CertificateExpirationDate	6/13/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024