Individual
INGRID KRISTINE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
16618 W 159TH ST STE 402, LOCKPORT, IL 60441-8011
(815) 838-0529
Mailing address
5134 S INGLESIDE AVE APT B, CHICAGO, IL 60615-3853
(612) 875-9259
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.026080
IL
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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