Individual
JAZANAY TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5547 W ADAMS ST, CHICAGO, IL 60644-4003
(708) 943-3518
Mailing address
5547 W ADAMS ST, CHICAGO, IL 60644-4003
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
04/22/2021
Last updated
01/04/2022
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