DR. MICHAEL VINCENT TALLARICO (NPI# 1467773036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467773036 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL VINCENT TALLARICO |
| Credential | M.D. |
| Practice Address |
1001 Calumet Ave Dyer IN 46311 |
| Mailing Address |
1001 Calumet Ave Dyer IN 46311-1596 |
| Practice Telephone | 2199248178 |
| Mailing Telephone | 2199247178 |
| Mailing Fax Number | 2199248179 |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2020-02-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 125058221 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
01078614A | IN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2160 S 1st Ave, Gme Office 101/1740, Maywood, IL 601533328 | 7082166497 | 7082166890 |
| Street Address |
1001 CALUMET AVE |
| City | DYER |
| State | IN |
| Zip Code | 46311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578527826 | Northwest Oncology, P.C. | Internal Medicine | 1001 Calumet Ave, Dyer, IN 46311-1596 | 2006-04-13 |
| 1235698408 | Amanda Meyers | Registered Nurse | 1001 Calumet Ave, Dyer, IN 46311-1596 | 2019-03-18 |
| 1174096192 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1001 Calumet Ave, Ste 101, Dyer, IN 46311-1596 | 2019-01-03 |
| 1487135034 | Amie Swardson Barry | Nurse Practitioner | 1001 Calumet Ave, Dyer, IN 46311-1596 | 2018-08-22 |
| 1770952236 | Ashley Ramos | Physician Assistant | 1001 Calumet Ave, Dyer, IN 46311 | 2015-09-15 |
| 1356508915 | Neel Bhupendra Shah | Internal Medicine | 1001 Calumet Ave, Dyer, IN 46311-1596 | 2008-05-21 |
| 1063691830 | Mohamad Kassar | Internal Medicine | 1001 Calumet Ave, Dyer, IN 46311-1596 | 2007-10-30 |
| 1518160720 | Rajul Kothari | Obstetrics & Gynecology | 1001 Calumet Ave, Dyer, IN 46311-1596 | 2007-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407338858 | Leena Yousef-diaz | Nurse Practitioner | 1100 Joliet Street Suite #201, Dyer, IN 46311 | 2018-09-02 |
| 1518476639 | Kor Speech Therapy, LLC | Speech-Language Pathologist | 219 Primrose Dr., Dyer, IN 46311 | 2017-09-20 |
| 1861921207 | Derrick Durrah | Counselor | 2615 James Drive, Dyer, IN 46311 | 2017-06-08 |
| 1073962189 | Maria Lule | Pharmacist | 805 Joliet Road, Dyer, IN 46311 | 2016-06-09 |
| 1780072157 | Mario Munoz | Skilled Nursing Facility | 515 Audrey Ct, Dyer, IN 46311 | 2015-01-07 |
| 1457772451 | Lisa Jennifer Mickelson | Registered Nurse | 600 Joliet St., Kahler Middle School, Dyer, IN 46311 | 2013-12-18 |
| 1285055285 | Tanya D Burk-willson | Registered Nurse | 14600 W 81st St., Bibich Elementary, Dyer, IN 46311 | 2013-12-18 |
| 1013338011 | Mary Beth Rinaldi | Registered Nurse | 1121 Harrison Ave, Protsman Elementary, Dyer, IN 46311 | 2013-12-18 |
| 1023448057 | Franciscan Alliance | General Acute Care Hospital | 24 Joliet Street, 3da, Dyer, IN 46311 | 2013-11-12 |
| 1508078239 | Fatima Jaffer Md Sc PC | Internal Medicine | Physicians Pavilion Suite 101, 24 East Joliet Street, Dyer, IN 46311 | 2007-05-04 |
| Find all providers in zip 46311 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184133555 | Horizon Medical Group, Inc | Internal Medicine | 1345 Unity Pl Ste 345, Lafayette, IN 47905-5761 | 2017-09-28 |
| 1346515665 | Coleman Obasaju | Internal Medicine | 12098 Ashcroft Pl, Carmel, IN 46032-8901 | 2012-03-20 |
| 1780918987 | Union Associated Physicians Clinic, LLC | Internal Medicine | 1711 No. 6 1/2 Street, Hux Cancer Center, Suite 200, Terre Haute, IN 47804-4018 | 2009-09-22 |
| 1902038060 | Waldo I Ortuzar | Internal Medicine | 13869 Kickapoo Tr., Carmel, IN 46033-8545 | 2009-08-21 |
| 1558562371 | Cecilia Choi | Internal Medicine | 1100 Reid Pkwy Ste 105, Richmond, IN 47374-1157 | 2007-05-30 |
| 1669419867 | Roberto Pili | Internal Medicine | 1030 W Michigan St, Indianapolis, IN 46202-5201 | 2006-05-31 |
| 1275597650 | William S Kamanda | Internal Medicine | 53760 Generations Dr, South Bend, IN 46635-1539 | 2006-04-13 |
| 1760451413 | Vijaya Kakani | Internal Medicine | 420 N 26th St, Lafayette, IN 47904-2842 | 2006-03-15 |
| 1982685533 | Rathipriya Mahendran | Internal Medicine | 831 Theatre Drive, Marion, IN 46952-4470 | 2005-11-10 |
| 1750372819 | Robert J Steele | Internal Medicine | 806 S Berkley Rd, Kokomo, IN 46901-5110 | 2005-10-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.