Individual
DR. JOHN BRYAN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
101 E PLUMMER BLVD, CHATHAM, IL 62629-8047
(217) 483-1551
(217) 483-6294
Mailing address
101 E PLUMMER BLVD, CHATHAM, IL 62629-8047
(217) 483-1551
(217) 483-6294
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8426897
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/06/2006
Last updated
07/08/2007
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