Ellis J Talbert, MD SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036076981 Issued in IL

Legal business name

ELLIS J TALBERT, MD SC

Practice address

7000 S Adams St
Suite 240
Willowbrook, IL 60527-8453

Phone

(630) 986-5106

Fax

(630) 986-5119

NPI assigned

Nov 9, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ellis Jay Talbert, MDNPI 1538257886

Title

Owner

Phone

(630) 986-5106

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ellis J Talbert, MD

  • Family Medicine Physician
  • Willowbrook, IL
  • NPI 1538257886
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373241600000",
    "number": "1114107976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 S ADAMS ST",
            "address_2": "SUITE 240",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605278453",
            "telephone_number": "630-986-5106",
            "fax_number": "630-986-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 S ADAMS ST",
            "address_2": "SUITE 240",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605278453",
            "telephone_number": "630-986-5106",
            "fax_number": "630-986-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS J TALBERT, MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2013-07-08",
        "status": "A",
        "authorized_official_last_name": "TALBERT",
        "authorized_official_first_name": "ELLIS",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-986-5106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036076981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Marcia Eichhorn, CNM
• Elizabeth Marie Einig, MSW
• Nagla A. Bashir El Zinad
• Ahmed Elborno, MD
• Elizabeth Eliason, MS, CCC-SLP
• Hany Eskander, DPT, MS
• Patrice Evans
• Asad Farooq, DMD
• Marilee Feldman, LCPC
• Firmus Medical, LLC

• Family Medicine Physician in Willowbrook, IL
• Providers in Willowbrook, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.