Taylor, Tina M.

Taylor, Tina M. is an sole proprietor health care provider with primary practice located at 400 W 76Th St Suite 210, Chicago IL 60620-1640. She recently has only one registered license in Other Service Providers / Naprapath, which is considered as her primary health care specialty. Taylor, Tina M. can be contacted via phone (773) 873-5000.

Contact Information

Primary practice address
400 W 76Th St Suite 210 Chicago IL 60620-1640
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Naprapath 172P00000X 181000230 Illinois

Profile Details

NPI number 1134277395
LBN Legal business name Taylor, Tina M.
Credentials Doctor of Nursing (DN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 6th, 2007
Last updated Jun 16th, 2009 - 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 1134277395 NPPES
Illinois Other 0001625785 BCBS PROVIDER #

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