Individual
MR. BYRON KEITH TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-7465
(312) 569-6105
Mailing address
5528 S INDIANA AVE, UNIT 1, CHICAGO, IL 60637-1025
(708) 717-9684
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150013104
IL
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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