Individual
DR. TAYLOR JO BRODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1950 W POLK ST, CHICAGO, IL 60612-3723
(312) 864-6000
Mailing address
820 S WOOD ST STE 100, CHICAGO, IL 60612-4325
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
125.084688
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2024
Last updated
06/29/2025
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