ELLIS J TALBERT MD SC NPI 1114107976

NPI Information

  • NPI: 1114107976
  • Provider Name: ELLIS J TALBERT, MD SC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 7000 S ADAMS ST
    SUITE 240
    WILLOWBROOK, IL
    ZIP 60527
  • Phone: (630) 986-5106

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NPI Details

ELLIS J TALBERT, MD SC is a family medicine in Willowbrook, IL. The provider is 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. ELLIS J TALBERT, MD SC NPI is 1114107976. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7000 S ADAMS ST
SUITE 240
WILLOWBROOK, IL
ZIP 60527-453
Phone: (630) 986-5106
Fax: (630) 986-5119

The provider's authorized official is Ellis Jay Talbert .
The authorized official title is Owner and has the following contact phone number (630) 986-5106.

The enumeration date for this NPI number is 11/9/2007 and was last updated on 7/8/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine036076981ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1211174MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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