MEDICARE: TALCOTT PRIMARY CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1457473175
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TALCOTT PRIMARY CARE LLC

Provider Business Mailing Address
First Line	:	7447 W TALCOTT AVE STE 409
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60631-3715
Country	:	US
Telephone Number	:	773-763-3808
Fax Number	:	773-763-2885

Provider Business Practice Location Address
First Line	:	7447 W TALCOTT AVE STE 409
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60631-3715
Country	:	US
Telephone Number	:	773-763-3808
Fax Number	:	773-763-2885

Authorized Official
Title or Position	:	OWNER
Name	:	DR. STEVEN J PEARLMAN
Credential	:	M.D.
Telephone Number	:	773-763-3808

Provider Enumeration Date	:	04/04/2007
Last Update Date	:	07/31/2023

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