Gary N Taylor DDS, Ms, PC
Organization Active NPI Endodontics · Countryside, IL
NPI 1548428899 · NPPES record last updated May 22, 2008
Key facts
- NPI
- 1548428899
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Endodontics 1223E0200X
- License
- 021-000978 (IL)
- Legal business name
- GARY N TAYLOR DDS, MS, PC
- Practice address
- 475 W 55TH St
Suite 208
Countryside, IL 60525-3564 - Phone
- (708) 579-0488
- NPI assigned
- May 22, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Gary Norman Taylor, DDS
- Title
- President
- Phone
- (708) 579-0488
Practitioners 1
-
Richard Alan Kohn, DDS MS
National Provider Directory
Locations
475 W 55th St
Ste 208
Countryside, IL 60525
Phone (708) 579-0488
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics |
1223E0200X | 021-000978 | IL | Yes |
Addresses
Primary practice location
475 W 55TH St
Suite 208
Countryside, IL 60525-3564
Mailing address
475 W 55TH St
Suite 208
Countryside, IL 60525-3564
Phone (708) 579-0488
Other providers in Countryside, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.