Individual
TAYLOR STINNETT
Active
Individual
TAYLOR STINNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036164979
IL
208100000X
Physical Medicine & Rehabilitation Physician
125074338
IL
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
036.164979
IL
Other
Enumeration date
03/28/2019
Last updated
10/15/2024
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