Taylor, Bernard G

Taylor, Bernard G is an individual health care provider with primary practice located at 132 E Mossville Rd , Peoria IL 61615-9793. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Taylor, Bernard G can be contacted via phone (309) 645-8588.

Contact Information

Primary practice address
132 E Mossville Rd Peoria IL 61615-9793
Phone: (309) 645-8588
Fax: (309) 579-3011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036-053087 Illinois

Profile Details

NPI number 1558334557
LBN Legal business name Taylor, Bernard G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Mar 11th, 2019 - about 6 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 1558334557 NPPES
Illinois MEDICAID 036053087
Illinois Other 7215156
Illinois Other IL2005002

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