Individual
MARIA BONITA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DT,LSW
Contact information
Practice address
3901 STREAMWOOD DR, HAZEL CREST, IL 60429-2464
(773) 716-6547
Mailing address
3901 STREAMWOOD DR, HAZEL CREST, IL 60429-2464
(773) 716-6547
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
MT68411211P
IL
Other
Enumeration date
04/04/2012
Last updated
06/30/2025
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