Individual
TAYLOR COMSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
815 PASQUINELLI DR, WESTMONT, IL 60559-2268
(630) 790-1872
Mailing address
PO BOX 713260, CHICAGO, IL 60677
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085004843
IL
Other
Enumeration date
10/01/2013
Last updated
06/27/2023
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