Active NPI
Brett M Taylor, PA-C
- Physician Assistant
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085005634
- Practice address
- 675 N Saint Clair St Ste 19-100
Chicago, IL 60611-5969 - Phone
- (312) 664-3278
- Fax
- (312) 695-2461
- NPI assigned
- Sep 24, 2015
- Last updated
- Sep 9, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085005634 | IL | Primary |
Addresses
Primary practice location
675 N Saint Clair St Ste 19-100
Chicago, IL 60611-5969
Mailing address
675 N Saint Clair St Ste 19-100
Chicago, IL 60611-5969
Phone (312) 664-3278
Other practice location 1
201 E Huron St Ste 11-140
Chicago, IL 60611-2968
Phone (312) 695-2517
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, FL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12251 S 80TH Ave
Palos Heights, IL 60463-1290
2204 Eastland Dr
Bloomington, IL 61704-3567
Phone (309) 663-0222
611 W Park St
Urbana, IL 61801-2500
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
675 N Saint Clair St
Chicago, IL 60611-5975
675 N St Clair
Chicago, IL 60611-5975
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockford Health Physicians | Current | Accepting new patients | |
| Carle Health Medical Group | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Riverside Health System | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Carle West Physician Group Inc | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Ascension Medical Group-Southeast Wisconsin Inc | Physician Assistant | Current | Accepting new patients |
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current | Accepting new patients | |
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current | Accepting new patients | |
| Carle Health Care Incorporated | Past | Accepting new patients |
Locations
2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461
Dept 5777
Carol Stream, IL 60122
201 E Huron St
Ste 11-140
Chicago, IL 60611
Phone (312) 664-3278
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
675 N Saint Clair St
Ste 19100
Chicago, IL 60611
Phone (312) 664-3278
2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000
701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
1302 Franklin Ave
Ste 4500
Normal, IL 61761
Phone (309) 556-8300
112 NE Crescent Ave
Peoria, IL 61606
Phone (309) 671-7779
120 NE Glen Oak Ave
Peoria, IL 61603
Phone (309) 672-3158
815 Main St
Ste A
Peoria, IL 61602
Phone (309) 671-3000
900 Main St
Ste 660
Peoria, IL 61602
Phone (309) 272-7724
2300 N Rockton Ave
Rockford, IL 61103
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
105 S First St
Wilmington, IL 60481
Phone (815) 476-5210
1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435
1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950
13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400
2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220
201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228
Organizations & group practices 16
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Carle Physician Group
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Family Medicine Physician
- Normal, IL
- NPI 1467074138
-
dba Northwestern Medical Group
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
dba Methodist Medical Group
- Family Medicine Physician
- Peoria, IL
- NPI 1184670663
-
dba Mercyhealth Physicians
- Multi-Specialty Clinic/Center
- Rockford, IL
- NPI 1043242886
-
dba Ascension Medical Group
- Multi-Specialty Clinic/Center
- Neenah, WI
- NPI 1730126392
-
dba Ascension Medical Group
- Internal Medicine Physician
- Glendale, WI
- NPI 1609881077
Physician Assistant
-
dba Hoopeston Physician Group
- Internal Medicine Physician
- Hoopeston, IL
- NPI 1043683014
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1982656575
-
- General Practice Physician
- Kankakee, IL
- NPI 1417061193
-
dba Charlotte Ann Russell Medical Center
- Rural Health Clinic/Center
- Hoopeston, IL
- NPI 1578504544
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Palos Heights, IL
- NPI 1184699118
-
- General Acute Care Hospital
- Palos Heights, IL
- NPI 1851386692
-
- General Acute Care Hospital
- Urbana, IL
- NPI 1013071653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662681600000",
"number": "1881063428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "675 N SAINT CLAIR ST STE 19-100",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606115969",
"telephone_number": "312-664-3278",
"fax_number": "312-695-2461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 N SAINT CLAIR ST STE 19-100",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606115969",
"telephone_number": "312-664-3278",
"fax_number": "312-695-2461"
}
],
"practiceLocations": [
{
"address_1": "201 E Huron St Ste 11-140",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606112968",
"country_code": "US",
"telephone_number": "312-695-2517",
"fax_number": "312-695-5774",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAYLOR",
"first_name": "BRETT",
"middle_name": "M",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-24",
"last_updated": "2022-09-09",
"certification_date": "2022-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085005634",
"primary": true
}
],
"identifiers": [],
"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 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.