Individual provider Active NPI

Erica E Taylor, MD

  • Obstetrics & Gynecology Physician
  • Harvey, IL
National Provider Identifier
1932364551
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036130540 Issued in IL
Practice address
31 W 155TH St
Harvey, IL 60426-3556
Phone
(708) 596-5177
Fax
(708) 596-5518
NPI assigned
Jul 23, 2008
Last updated
Oct 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 125055750 IL
Obstetrics & Gynecology Physician 207V00000X 036130540 IL Primary

Addresses

Primary practice location

31 W 155TH St
Harvey, IL 60426-3556

Mailing address

31 W 155TH St
Harvey, IL 60426-3556
Phone (708) 596-5177

Other practice location 1

13000 Maple Ave
Blue Island, IL 60406-2318
Phone (708) 385-6100

Other names 1

  • Dr. Erica E Pugh Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140509001997 IL Practitioner - Obstetrics/Gynecology 2567695968 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Indiana University School of Medicine, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2855 N Keystone Ave
Suite 130
Indianapolis, IN 46218-0040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125055750ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Christian Health Center CurrentSince Oct 28, 2024 Accepting new patients
Family Christian Health Center Obstetrics & Gynecology CurrentSince Oct 28, 2024 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Dec 1, 2022 Accepting new patients
Dr. Erica Taylor Health & Wellness, PLLC Obstetrics & Gynecology Current Accepting new patients
Women OB GYN Associates PC Obstetrics & Gynecology CurrentSince Jul 27, 2019 Accepting new patients
Access Community Health Network CurrentSince Nov 11, 2013 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Dec 1, 2022 Accepting new patients
Access Community Health Network CurrentSince Nov 11, 2013 Accepting new patients
Obhg Illinois SC Obstetrics & Gynecology CurrentSince Mar 27, 2019 Accepting new patients
Access Community Health Network Current Accepting new patients
Family Christian Health Center Past Accepting new patients

Locations

12935 Gregory St
Blue Island, IL 60406
Phone (708) 597-2000

13000 Maple Ave
Blue Island, IL 60406
Phone (708) 385-0372

4121 Fairview Ave
Ste 201
Downers Grove, IL 60515
Phone (630) 719-9229

15620 Wood St
Harvey, IL 60426
Phone (708) 333-3030

31 W 155th St
Harvey, IL 60426
Phone (708) 596-5177

1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

201 E Madison St
Ste 328
Springfield, IL 62702

400 N 9th St
Springfield, IL 62702
Phone (217) 545-6498

751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1932364551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 W 155TH ST",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604263556",
            "telephone_number": "708-596-5177",
            "fax_number": "708-596-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 W 155TH ST",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604263556",
            "telephone_number": "708-596-5177",
            "fax_number": "708-596-5518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13000 Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Blue Island",
            "state": "IL",
            "postal_code": "604062318",
            "country_code": "US",
            "telephone_number": "708-385-6100",
            "fax_number": "708-385-2051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ERICA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "125055750",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036130540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "PUGH",
            "middle_name": "E",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Harvey, IL

Sources for this page

Verify at the official NPI Registry.