MEDICARE: KENDRA TAYLOR GORNY

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
1	363LF0000X	Family Nurse Practitioner	209.027941	IL

General Provider Information

NPI Number	:	1235812363
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENDRA TAYLOR GORNY

Provider Business Mailing Address
First Line	:	2917 W 95TH ST
Second Line	:
City	:	EVERGREEN PARK
State	:	IL
Zip	:	60805-2402
Country	:	US
Telephone Number	:	708-907-4355
Fax Number	:

Provider Business Practice Location Address
First Line	:	2917 W 95TH ST
Second Line	:
City	:	EVERGREEN PARK
State	:	IL
Zip	:	60805-2402
Country	:	US
Telephone Number	:	708-907-4355
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2023
Last Update Date	:	09/23/2025

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Directions to “ KENDRA TAYLOR GORNY ” Practice Location

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