Jessica Dominique Taylor, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.013609 Issued in IL

Practice address

2417 183Rd St
Homewood, IL 60430-3134

Phone

(708) 798-5556

NPI assigned

Oct 10, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sareena Health LLCGroup PAC ID 0345508503, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sareena Health LLC

  • Chiropractor
  • Homewood, IL
  • NPI 1962915215
  Medicare reassignment Care Compare group
• Chiropractic Care LTD

  • Chiropractor
  • Homewood, IL
  • NPI 1790873677
  NPD (past)

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

{
    "created_epoch": "1602288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602288000000",
    "number": "1962000125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 QUAIL CT",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222048",
            "telephone_number": "170-857-4926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 183RD ST",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604303134",
            "telephone_number": "708-798-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JESSICA",
        "middle_name": "DOMINIQUE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-10",
        "last_updated": "2020-10-10",
        "certification_date": "2020-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Suhm, LCSW
• Sure Ride Transport Inc.
• Cynthia C Sykes
• T'Mia Patrick, Ma, LLC
• Taiwo Durowade LLC
• Nicolette Taylor, LPC
• Tiara Taylor
• Matthew Teague
• Shivan Hiralal Tekwani, M.D.
• Ten Clinical Services, PLLC

• Chiropractor in Homewood, IL
• Providers in Homewood, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.