Active NPI
Taylor Medical Associates
- Family Medicine Physician
- Chicago, IL
National Provider Identifier
1750431847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036085106
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036085106 | Medicaid | IL |
National Provider Directory
National Provider DirectoryNPI 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
- Taylor Counseling Services
- Taylor Dental Clinic LTD
- Taylor Eq Institute LLC
- Cynthia Taylor Handrup, PMHCNS-BC
- Taylor Leisher Psychotherapy, PLLC
- Taylor Psychological Services PC
- Danyell Taylor White, LCSW
- Chantelle Taylor-Bittings, LCPC
- Belinda Taylor-Jones, M.A., CCC-SLP-L
- Kimberly Taylor-Robertson
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.