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Taylor Mallon
NPI 1891342093 · on the registry since 2019
Practice
- Address
- 8870 South Duffy Avenue
Apartment 406
Chicago, IL 60622 - Phone
- (708) 846-2380
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-08-22
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