Provider Demographics
NPI:1013080241
Name:TALI, ARDITA
Entity type:Individual
Prefix:DR
First Name:ARDITA
Middle Name:
Last Name:TALI
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:ARDITA
Other - Middle Name:
Other - Last Name:LLESHI-TALI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:820 S DAMEN AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-3728
Mailing Address - Country:US
Mailing Address - Phone:224-587-2399
Mailing Address - Fax:
Practice Address - Street 1:820 S DAMEN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3728
Practice Address - Country:US
Practice Address - Phone:312-569-6435
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.115795207U00000X
IL036 115795207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine