Shield, Angela Taylor

Shield, Angela Taylor is an individual health care provider with primary practice located at 7 Blanchard Cir Suite 201, Wheaton IL 60189-2039. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Shield, Angela Taylor can be contacted via phone (630) 653-2300.

Contact Information

Primary practice address
7 Blanchard Cir Suite 201 Wheaton IL 60189-2039
Phone: (630) 653-2300
Fax: (630) 653-2895
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180005724 Illinois

Profile Details

NPI number 1356300404
LBN Legal business name Shield, Angela Taylor
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2006
Last updated Jul 8th, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356300404 NPPES
Illinois Other 02215643 BLUE CROSS BLUE SHIELD

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