MEDICARE: DR. MICHAEL ARON TAYLOR D.C.

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	111N00000X	Chiropractor	038-008914	IL

General Provider Information

NPI Number	:	1780649491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL ARON TAYLOR D.C.

Provider Business Mailing Address
First Line	:	4956 W IRVING PARK RD STE 200
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60641-2694
Country	:	US
Telephone Number	:	773-725-5835
Fax Number	:	773-725-5834

Provider Business Practice Location Address
First Line	:	4956 W IRVING PARK RD
Second Line	:	SUITE 200
City	:	CHICAGO
State	:	IL
Zip	:	60641-2640
Country	:	US
Telephone Number	:	773-725-5835
Fax Number	:	773-725-5834

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

Provider Enumeration Date	:	04/18/2006
Last Update Date	:	08/19/2020

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