Individual
MICHAEL TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4602 JEFFERSON DR, RICHTON PARK, IL 60471-1850
(708) 248-6757
Mailing address
4602 JEFFERSON DR, RICHTON PARK, IL 60471-1850
(708) 248-6757
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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