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NPI Code Detail

MEDICARE: REBECCA TAYLOR PA-C

MEDICARE: REBECCA TAYLOR PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant085.005733IL

General Provider Information

NPI Number : 1396110573
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA TAYLOR PA-C
Provider Business Mailing Address
First Line : 901 CENTER ST
Second Line :
City : ELGIN
State : IL
Zip : 60120-2104
Country : US
Telephone Number : 847-608-1344
Fax Number :
Provider Business Practice Location Address
First Line : 1931 N HALSTED ST
Second Line :
City : CHICAGO
State : IL
Zip : 60614-5008
Country : US
Telephone Number : 312-999-5510
Fax Number : 415-252-7176
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2015
Last Update Date : 03/14/2025

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Directions to “ REBECCA TAYLOR PA-C” Practice Location

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