Individual provider Active NPI

Lyndon D Taylor, MD

  • Obstetrics & Gynecology Physician
  • Oak Park, IL
National Provider Identifier
1003924127
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036060997 Issued in IL
Practice address
1515 N Harlem Ave Ste 308
Oak Park, IL 60302-1205
Phone
(708) 848-9440
Fax
(708) 848-4415
NPI assigned
Aug 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036060997 IL Primary

Addresses

Primary practice location

1515 N Harlem Ave Ste 308
Oak Park, IL 60302-1205

Mailing address

1515 N Harlem Ave Ste 308
Oak Park, IL 60302-1205
Phone (708) 628-3390

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lyndontaylor@direct.practicefusion.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050208000532 IL Practitioner - Obstetrics/Gynecology 6901857127 Reassigns benefits to 1 organization
I20191014000573 TX Practitioner - Obstetrics/Gynecology 6901857127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1515 N Harlem Ave
Suite 308
Oak Park, IL 60302-1205
Phone (708) 628-3390

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Aug 23, 2019 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Aug 23, 2019 Accepting new patients
Healthcare for Women LLC CurrentSince Apr 1, 2020 Accepting new patients

Locations

1515 N Harlem Ave
Ste 308
Oak Park, IL 60302
Phone (708) 628-3390

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1003924127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N HARLEM AVE STE 308",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021205",
            "telephone_number": "708-628-3390",
            "fax_number": "708-628-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N HARLEM AVE STE 308",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021205",
            "telephone_number": "708-848-9440",
            "fax_number": "708-848-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "LYNDON",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036060997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lyndontaylor@direct.practicefusion.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1515 N Harlem Ave Ste 308",
            "city": "Oak Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "603021205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.