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NPI Code Detail

MEDICARE: LINDA M TAYEH MD

MEDICARE:   LINDA M TAYEH  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
1208000000XPediatrics Physician36088523IL
2207R00000XInternal Medicine Physician36088523IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568437754
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA M TAYEH MD
Provider Business Mailing Address
First Line : 233 S GARY AVE
Second Line :
City : BLOOMINGDALE
State : IL
Zip : 60108-2213
Country : US
Telephone Number : 630-924-4009
Fax Number : 630-924-9671
Provider Business Practice Location Address
First Line : 233 S GARY AVE
Second Line :
City : BLOOMINGDALE
State : IL
Zip : 60108-2213
Country : US
Telephone Number : 630-924-4009
Fax Number : 630-924-9671
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2006
Last Update Date : 01/09/2024

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Directions to “ LINDA M TAYEH MD” Practice Location

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