Individual
JOHN C TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4833 N WINCHESTER AVE APT 2, CHICAGO, IL 60640-6899
(804) 694-6052
Mailing address
4833 N WINCHESTER AVE APT 2, CHICAGO, IL 60640-6899
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242004749
IL
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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