Individual
MRS. TAYLOR N AGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1611 W HARRISON ST, STE 400, CHICAGO, IL 60612-4861
(312) 432-2300
(708) 409-5179
Mailing address
1611 W HARRISON ST, STE 400, CHICAGO, IL 60612-4861
(312) 432-2300
(708) 409-5179
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.009466
IL
363A00000X
Physician Assistant
085009466
IL
363A00000X
Physician Assistant
PA59283
CA
Other
Enumeration date
11/17/2020
Last updated
07/22/2023
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