Individual
TAYLOR WEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9858 S WESTERN AVE, EVERGREEN PARK, IL 60805-3200
(312) 705-9750
(312) 261-8962
Mailing address
9858 S WESTERN AVE, EVERGREEN PARK, IL 60805-3200
(312) 705-9750
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
10/22/2024
Last updated
08/05/2025
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