SearchIllinois235Z00000X

John Taylor

NPI 1992295166 · on the registry since 2018 · sole proprietor

Practice

Address
4833 N Winchester Ave Apt 2
Chicago, IL 60640
Phone
(804) 694-6052

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-05-14

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