Individual provider Active NPI

Kathleen Talamayan, MD, MPH

  • Family Medicine Physician
  • Glendale Heights, IL
National Provider Identifier
1770796609
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036124747 Issued in IL
Practice address
335 E Army Trail Rd
Glendale Heights, IL 60139-1755
Phone
(630) 226-1006
NPI assigned
May 7, 2007
Last updated
Oct 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036124747 IL Primary

Addresses

Primary practice location

335 E Army Trail Rd
Glendale Heights, IL 60139-1755

Mailing address

335 E Army Trail Rd
Glendale Heights, IL 60139-1755

Other practice location 1

885 Roosevelt Rd Ste 100
Glen Ellyn, IL 60137-6141
Phone (630) 938-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120305000424 IL Practitioner - Family Practice 1355500786 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

885 Roosevelt Rd
Suite 100
Glen Ellyn, IL 60137-6141
Phone (630) 384-6200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Immediate Care North Chicago LLC CurrentSince Dec 1, 2012 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Nov 1, 2024 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Nov 1, 2024 Accepting new patients
Central Dupage Physician Group Family Medicine Past Accepting new patients
Fastrac Medical, P.C. Past Accepting new patients

Locations

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

885 Roosevelt Rd
Ste 100
Glen Ellyn, IL 60137
Phone (630) 384-6200

335 E Army Trail Rd
Glendale Heights, IL 60139
Phone (630) 389-1681

7425 Barrington Rd
Hanover Park, IL 60133
Phone (630) 823-0392

750 Essington Rd
Joliet, IL 60435
Phone (815) 729-2160

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

3475 S Alpine Rd
Rockford, IL 61109
Phone (815) 874-8000

9701 W Higgins Rd
Ste 270
Rosemont, IL 60018
Phone (815) 654-2300

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1770796609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 E ARMY TRAIL RD",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601391755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 E ARMY TRAIL RD",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601391755",
            "telephone_number": "630-226-1006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "885 Roosevelt Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Glen Ellyn",
            "state": "IL",
            "postal_code": "601376141",
            "country_code": "US",
            "telephone_number": "630-938-6000",
            "fax_number": "630-384-6229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALAMAYAN",
        "first_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036124747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale Heights, IL

Sources for this page

Verify at the official NPI Registry.