Individual
DR. TINA M. TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DN
Contact information
Practice address
400 W 76TH ST, SUITE 210, CHICAGO, IL 60620-1640
(773) 873-5000
Mailing address
8733 S WINCHESTER AVE, CHICAGO, IL 60620-5451
(773) 298-1220
Taxonomy
Speciality
Code
Description
License number
State
172P00000X
Naprapath
Primary
181000230
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001625785
BCBS PROVIDER #
IL
Enumeration date
01/06/2007
Last updated
06/16/2009
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