| Gary N Taylor Dds, Ms, Pc | |
|
475 W 55th St Suite 208 Countryside IL 60525-3564 | |
| (708) 579-0488 | |
| Not Available |
| Full Name | Gary N Taylor Dds, Ms, Pc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 475 W 55th St, Countryside, Illinois |
| Authorized Official Name and Position | Gary Norman Taylor (PRESIDENT) |
| Authorized Official Contact | 7085790488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary N Taylor Dds, Ms, Pc 475 W 55th St Suite 208 Countryside IL 60525-3564 Ph: (708) 579-0488 | Gary N Taylor Dds, Ms, Pc 475 W 55th St Suite 208 Countryside IL 60525-3564 Ph: (708) 579-0488 |
| NPI Number | 1548428899 |
|---|---|
| Provider Enumeration Date | 05/22/2008 |
| Last Update Date | 05/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548428899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 021-000978 (Illinois) | Primary |
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