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General NPI Number Information
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NPI Number | 1285878801
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Entity Type | Organization
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Legal Business Name | TAYLOR MEDICAL CENTER S.C.
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Dates
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Enumeration Date | 04/27/2009
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3223 SOUTH HARLEM AVE
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City | BERWYN
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State | IL
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Zip | 60402
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Country | US
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Telephone | 708-484-1800
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Fax | 708-484-1801
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Provider Business Mailing Address
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Address Line | 3223 SOUTH HARLEM AVE
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City | BERWYN
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State | IL
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Zip | 60402
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Country | US
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Telephone | 708-484-1800
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Fax | 708-484-1801
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. ROBERTO J. GUTIERREZ
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Credential | M.D.
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Telephone | 17084841800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | IL
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