MEDICARE: TONI TAYLOR

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	174H00000X	Health Educator
2	174N00000X	Lactation Consultant (Non-RN)
3	225700000X	Massage Therapist
4	374J00000X	Doula

General Provider Information

NPI Number	:	1316661911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TONI TAYLOR

Provider Business Mailing Address
First Line	:	1603 E 55TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60615-6155
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1603 E 55TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60615-6155
Country	:	US
Telephone Number	:	323-253-2785
Fax Number	:

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

Provider Enumeration Date	:	09/28/2022
Last Update Date	:	09/28/2022

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Directions to “ TONI TAYLOR ” Practice Location

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