Individual
THERESA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1776 MOON LAKE BLVD, HOFFMAN ESTATES, IL 60169-1010
(847) 882-4181
Mailing address
1776 MOON LAKE BLVD, HOFFMAN ESTATES, IL 60169-1010
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041215304
IL
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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