Individual
DIANE K TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2025 WASHINGTON ST, WAUKEGAN, IL 60085-5131
(847) 360-1065
Mailing address
2025 WASHINGTON ST, WAUKEGAN, IL 60085-5131
(847) 360-1065
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
IL
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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