Individual
SAMANTHA MAKENZIE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820 W JACKSON BLVD STE 515, CHICAGO, IL 60607-3061
(312) 718-3336
Mailing address
820 W JACKSON BLVD STE 515, CHICAGO, IL 60607-3061
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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