SearchIllinois2255A2300X

Taylor Anderson, ATC

NPI 1578102893 · on the registry since 2020 · sole proprietor

Practice

Address
605 W North St # 9182
Peotone, IL 60468
Phone
(815) 370-1764

Additional practice sites

  • 1275 N Convent St Ste 3, Bourbonnais, IL

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-01-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois