Healthcare Provider Details

I. General information

NPI: 1427478817
Provider Name (Legal Business Name): CHRISTINE COLLINS TAYLOR APN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2014
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2007 95TH ST SUITE B
NAPERVILLE IL
60564-8459
US

IV. Provider business mailing address

1306 WINDING WAY
BOLINGBROOK IL
60490-3319
US

V. Phone/Fax

Practice location:
  • Phone: 630-646-6953
  • Fax:
Mailing address:
  • Phone: 630-618-8990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209011473
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209011473
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: