Individual
EMILY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 PIN OAK DR, CARTERVILLE, IL 62918-1600
(618) 985-3333
Mailing address
1400 PIN OAK DR, CARTERVILLE, IL 62918-1600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209018595
IL
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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