Talia Abia Mims

Individual provider Active NPI Bus · Elmhurst, IL

NPI 1609796259 · NPPES record last updated Jul 15, 2026

Key facts

NPI
1609796259
Entity type
Individual (NPI type 1)
Primary specialty
Bus 347B00000X
Practice address
1134 S Eldridge LN
Elmhurst, IL 60126-6601
Phone
(630) 696-8000
NPI assigned
Jul 15, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Bus 347B00000X Yes

Addresses

Primary practice location

1134 S Eldridge LN
Elmhurst, IL 60126-6601

Mailing address

1134 S Eldridge LN
Elmhurst, IL 60126-6601
Phone (630) 696-8000

Other providers in Elmhurst, IL

All providers in Elmhurst, IL · Bus in Illinois

Sources for this page

Verify at the official NPI Registry.