| Doctor Name: | RITA C TALLUD |
| NPI Number: | 1073642989 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | |
| Business Practice Address: | 2875 W 19th St Chicago, IL - 60623 |
| Business Phone Number: | 7734841000 |
| Business Fax Number: | |
| Mailing Address: | 4177 S Archer Ave, CHICAGO |
| State: | IL |
| Postal Code: | 60632 |
| Phone Number: | 7732542222 |
| Fax Number: | 7732548444 |
| NPI Enumeration Date: | 03/05/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |