Talia Ruth Ditkoff
Talia Ruth Ditkoff is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2025.
- Licensed in
- IL
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
1431 N Western Ave Ste 406Chicago, IL 60622-1774
Phone: (312) 633-5841
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Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 125.086837 (IL) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1740077445 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 24, 2025 |
| Last updated in NPPES | July 24, 2025 |
| Certification date | July 24, 2025 |
| Mailing address | 1431 N Western Ave Ste 406, Chicago, IL 60622-1774 |
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