Catherine V Taylor

Individual provider Active NPI Developmental Therapist · Hometown, IL

NPI 1801326475 · NPPES record last updated Jun 15, 2017

Key facts

NPI
1801326475
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
Practice address
8860 S Ryan Rd
Hometown, IL 60456-1226
Phone
(773) 719-9357
NPI assigned
Jun 15, 2017
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X
Developmental Therapist 222Q00000X IL Yes

Addresses

Primary practice location

8860 S Ryan Rd
Hometown, IL 60456-1226

Mailing address

8860 S Ryan Rd
Hometown, IL 60456-1226

Other practice location 1

8860 S Ryan Rd
Hometown, IL 60456-1226
Phone (773) 719-9357

Other providers in Hometown, IL

All providers in Hometown, IL · Developmental Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.