Organization Active NPI

Taylor Medical Associates

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1750431847
Registry record updated Sep 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036085106 Issued in IL
Legal business name
TAYLOR MEDICAL ASSOCIATES
Practice address
2315 E 93Rd St
Ste 240
Chicago, IL 60617-3936
Phone
(773) 375-8366
Fax
(773) 375-8319
NPI assigned
Jan 11, 2007
Last updated
Sep 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2011

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

Authorized official

Name
Julie V Taylor, M.D.
Title
Sole Proprietor
Phone
(773) 375-8366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036085106 IL Primary

Addresses

Primary practice location

2315 E 93Rd St
Ste 240
Chicago, IL 60617-3936

Mailing address

2315 E 93Rd St
Ste 240
Chicago, IL 60617-3936
Phone (773) 375-8366

Other identifiers 1

IdentifierTypeStateIssuer
036085106MedicaidIL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316390400000",
    "number": "1750431847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 E 93RD ST",
            "address_2": "STE 240",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173936",
            "telephone_number": "773-375-8366",
            "fax_number": "773-375-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 E 93RD ST",
            "address_2": "STE 240",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173936",
            "telephone_number": "773-375-8366",
            "fax_number": "773-375-8319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2011-09-19",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "773-375-8366",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036085106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036085106",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; 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.