Taylor, Nina L

Taylor, Nina L is an sole proprietor health care provider with primary practice located at 1425 W Lincoln Hwy Northern Illinois University / Health Services, Dekalb IL 60115-2828. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Taylor, Nina L can be contacted via phone (815) 753-1311.

Contact Information

Primary practice address
1425 W Lincoln Hwy Northern Illinois University / Health Services Dekalb IL 60115-2828
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 336-042152 Illinois

Profile Details

NPI number 1003973728
LBN Legal business name Taylor, Nina L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2007
Last updated Jun 7th, 2010 - about 15 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 1003973728 NPPES
Illinois Other 211332 MEDICARE ID

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