Individual
JULIE V TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
901 E 95TH ST, CHICAGO, IL 60619-7861
(312) 878-9240
(312) 878-9241
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
(847) 390-4757
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036085106
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036085106
—
IL
01
—
1632088
BCBS
IL
01
—
40544
ADVOCATE HEALTH PARTNERS
IL
01
—
5240659
AETNA
IL
01
—
5545135002
CIGNA
IL
01
—
P00142272
MEDICARE RAILROAD
IL
Enumeration date
01/11/2007
Last updated
09/30/2022
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