Individual
SHAUNTAI P TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2948 ARTESIAN RD STE 112, NAPERVILLE, IL 60564-8559
(630) 428-7890
(630) 428-7891
Mailing address
1333 S WABASH AVE UNIT 1711, CHICAGO, IL 60605-2628
(312) 796-1315
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.019459
IL
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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