Taylor Brant McDowell
Individual provider Active NPI Medical Physician Assistant · Riverwoods, IL
NPI 1194354845 · NPPES record last updated May 21, 2025
Key facts
- NPI
- 1194354845
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 085.008745 (IL)
- Practice address
- 3035 Blackthorn Rd
Riverwoods, IL 60015-3775 - Phone
- (847) 997-2973
- NPI assigned
- Apr 5, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Illinois Center for Neurological and Behavioral Medicine LTD
Medico PLLC
Practice addresses (Care Compare)
1455 E Golf Rd
Suite 207
Des Plaines, IL 60016-1254
Phone (847) 767-6778
2600 S Michigan Ave
Suite 305
Chicago, IL 60616-2857
Phone (312) 371-7951
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (5 enrollments) in IL, IN, FL, MO, WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220125001139 | IL | Practitioner - Physician Assistant | 9931591906 | Reassigns benefits to 4 organizations |
| I20220811001868 | IN | Practitioner - Physician Assistant | 9931591906 | Reassigns benefits to 1 organization |
| I20241203000994 | FL | Practitioner - Physician Assistant | 9931591906 | Reassigns benefits to 2 organizations |
| I20241203004162 | MO | Practitioner - Physician Assistant | 9931591906 | Reassigns benefits to 1 organization |
| I20241204002824 | WI | Practitioner - Physician Assistant | 9931591906 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10003647A | IN | MD | Physician Assistant |
| 085.008745 | IL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cepamerica Illinois LLP | Current |
Accepting new patients | |
| Cep America LLC | Current |
Accepting new patients | |
| Cep America LLC | Current |
Accepting new patients | |
| Cepamerica Illinois LLP | Current |
Accepting new patients | |
| Miamipsych Concierge, LLC | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10003647A | IN | |
| Medical Physician Assistant | 363AM0700X | 085.008745 | IL | Yes |
Addresses
Primary practice location
3035 Blackthorn Rd
Riverwoods, IL 60015-3775
Mailing address
3035 Blackthorn Rd
Riverwoods, IL 60015-3775
Phone (847) 997-2973
Other providers in Riverwoods, IL
- William B Lauth
- Lewis Barr, M.D.,S.C.
- Life Wellness Clinic, Inc.
- Vishnu Madireddy
- Meghan Martinez
- Olga Meltser
- Mentalizing Minds PLLC
- Irina Meshem
- Joseph Leon Miller
- Cho H Moon
All providers in Riverwoods, IL · Medical Physician Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.