MEDICARE: TAYLOR SAEY

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	235Z00000X	Speech-Language Pathologist	2017099	IL

General Provider Information

NPI Number	:	1457878837
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR SAEY

Provider Business Mailing Address
First Line	:	5822 93RD AVE W
Second Line	:
City	:	TAYLOR RIDGE
State	:	IL
Zip	:	61284-9510
Country	:	US
Telephone Number	:	309-714-8194
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 JEFFERSON ST
Second Line	:
City	:	NEW BOSTON
State	:	IL
Zip	:	61272-8636
Country	:	US
Telephone Number	:	309-587-8141
Fax Number	:

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

Provider Enumeration Date	:	08/25/2017
Last Update Date	:	08/27/2020

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Directions to “ TAYLOR SAEY ” Practice Location

Language	Start Address	Practice Location

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