Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Ezra Tallman, MD

Individual provider Urology Physician · NPI 1386141174

Jacob Ezra Tallman, MD is an Urology in Chicago, Illinois. Graduated from University of Chicago, Pritzker School of Medicine in 2018, 8 years ago. Practices with University of Chicago, a 1,681-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois, Indiana and New York.

Years since qualifying
8
Trained at
University of Chicago, Pritzker School of Medicine
Licensed in
IL, IN, NY
In the registry since
2018
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone: (888) 824-0200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 10855 Virginia St, Crown Point, IN 46307-0210 — (888) 824-0200
  • 1275 York Ave, New York, NY 10065-6007 — (646) 422-4300

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 036176423 (IL)
Urology Physician Taxonomy 208800000X · Licence 318971-01 (NY)
Urology Physician Taxonomy 208800000X · Licence 01096755A (IN)

Record details

NPI number1386141174
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2018
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolUNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice University Of Chicago — 1681 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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