Nina L Taylor, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

336-042152 Issued in IL

Practice address

1425 W Lincoln Hwy
Northern Illinois University / Health Services
Dekalb, IL 60115-2828

Phone

(815) 753-1311

NPI assigned

Jan 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Fastrac Medical, P.C.

  • Emergency Medicine Physician
  • Joliet, IL
  • NPI 1659517597
  NPD (past)
• Physicians Immediate Care North Chicago LLC

  • Urgent Care Clinic/Center
  • Chicago, IL
  • NPI 1205814118
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275868800000",
    "number": "1003973728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 W LINCOLN HWY",
            "address_2": "NORTHERN ILLINOIS UNIVERSITY / HEALTH SERVICES",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601152828",
            "telephone_number": "815-753-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 W LINCOLN HWY",
            "address_2": "NORTHERN ILLINOIS UNIVERSITY / HEALTH SERVICES",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601152828",
            "telephone_number": "815-753-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "NINA",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2010-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "336-042152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "211332",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Taylor, RSA
• Alissa E Taylor
• Emily Nicole Taylor
• Hillary J Taylor
• Keith D Taylor
• Synia Taylor
• TD Reliable Transport LLC
• Rebecca Sue Tejumola, RN, BSN
• The Ben Gordon Center
• Anastasia Marie Theisen, M.S.

• Emergency Medicine Physician in Dekalb, IL
• Providers in Dekalb, IL by specialty
• Emergency Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.