Organization
ANN MARIE TAYLOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANN MARIE TAYLOR COTA/L (COTA/L)
(815) 603-8926
Entity
Organization
Contact information
Practice address
2800 MCKENNA DR, NEW LENOX, IL 60451-2906
(815) 603-8926
Mailing address
2800 MCKENNA DR, NEW LENOX, IL 60451-2906
(815) 603-8926
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
057.001889
IL
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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