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Russell Taylor, PHD
NPI 1942218219 · on the registry since 2006
Practice
- Address
- 557 N Westgate Ave
Jacksonville, IL 62650 - Phone
- (217) 245-7275
- Fax
- (217) 245-7427
- Organisation at this address
- Passavant Physician Association
Passavant Memorial Area HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Clinical Psychologist
103TC0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-09
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