Individual
DR. BERNARD G TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
132 E MOSSVILLE RD, PEORIA, IL 61615-9793
(309) 645-8588
(309) 579-3011
Mailing address
132 E MOSSVILLE RD, PEORIA, IL 61615-9793
(309) 645-8588
(309) 579-3011
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036-053087
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036053087
—
IL
01
—
7215156
BCBSIL
IL
01
—
IL2005002
MCR ID NUMBER
IL
Enumeration date
02/09/2006
Last updated
03/11/2019
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