Taylor Petesch, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

125.081721 Issued in IL

Practice address

1555 Barrington Rd BLDG 1
Hoffman Estates, IL 60169-1099

Phone

(847) 843-2000

NPI assigned

Mar 20, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Taylor Knopf Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1942902135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3437 W BELLE PLAINE AVE APT 2E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606182282",
            "telephone_number": "630-450-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 BARRINGTON RD BLDG 1",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691099",
            "telephone_number": "847-843-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETESCH",
        "first_name": "TAYLOR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "125.081721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "KNOPF",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Roxana M Perez
• Rachel Perillo, LCPC
• Jonathan George Perle, PH.D.
• Ava S Perrone
• Personalized Wellness Internal Medicine Inc
• Alfred John Petrone, DC, DABCO
• Anthony J Petrone, DC
• Jori Grace Marilyn Petrone
• Lisa Marie Petrongelli, PSY.D, APRN-BC, FPA
• Katelyn Nicole Pfaffinger, D.C.

• Obstetrics & Gynecology Physician in Hoffman Estates, IL
• Providers in Hoffman Estates, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.