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NPI Code Detail

MEDICARE: DR. TARYI WINT MD

MEDICARE: DR. TARYI WINT MD
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
1390200000XStudent in an Organized Health Care Education/Training ProgramIL

General Provider Information

NPI Number : 1316876220
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TARYI WINT MD
Provider Business Mailing Address
First Line : 11S568 BOOK RD
Second Line :
City : NAPERVILLE
State : IL
Zip : 60564-4701
Country : US
Telephone Number : 331-237-0622
Fax Number :
Provider Business Practice Location Address
First Line : 1747 W ROOSEVELT RD
Second Line :
City : CHICAGO
State : IL
Zip : 60608-1264
Country : US
Telephone Number : 312-996-0235
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2026
Last Update Date : 05/16/2026

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