Individual
JENNIFER MARY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
12531 REGENCY PKWY, HUNTLEY, IL 60142-6500
(847) 659-1000
(847) 659-1012
Mailing address
12531 REGENCY PKWY, HUNTLEY, IL 60142-6500
(847) 659-1000
(847) 659-1012
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
070003332
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00945890
RAILROAD MEDICARE PTAN
IL
Enumeration date
07/11/2007
Last updated
07/31/2014
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