Individual
MRS. SOPHIA NORMA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1725 S WABASH AVE, CHICAGO, IL 60616-1219
(312) 922-2777
Mailing address
2525 W FARWELL AVE, CHICAGO, IL 60645-4617
(773) 761-3109
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209003716
IL
Other
Enumeration date
07/11/2006
Last updated
03/17/2018
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