Agate, Taylor N

Agate, Taylor N is an individual health care provider with primary practice located at 1611 W Harrison St Ste 400, Chicago IL 60612-4861. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Agate, Taylor N can be contacted via phone (312) 432-2300.

Contact Information

Primary practice address
1611 W Harrison St Ste 400 Chicago IL 60612-4861
Phone: (312) 432-2300
Fax: (708) 409-5179
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA59283 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085009466 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085.009466 Illinois

Profile Details

NPI number 1871196477
LBN Legal business name Agate, Taylor N
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2020
Last updated Jul 22nd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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