Taylor Beirne

Individual provider Active NPI Family Nurse Practitioner · River Forest, IL

NPI 1154041879 · NPPES record last updated Sep 1, 2022

Key facts

NPI
1154041879
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
209025860 (IL)
Practice address
7603 West North Avenue
River Forest, IL 60305
Phone
(708) 456-7787
NPI assigned
Sep 1, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
209025860ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cameo Endodontics, LTD Past
since Sep 4, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209025860 IL
Family Nurse Practitioner 363LF0000X 209025860 IL Yes

Addresses

Primary practice location

7603 West North Avenue
River Forest, IL 60305

Mailing address

3614 N Fremont St Apt 2
Chicago, IL 60613-4372

Other providers in River Forest, IL

All providers in River Forest, IL · Family Nurse Practitioner in Illinois

Sources for this page

Verify at the official NPI Registry.