Dr Roger Leon Taylor, MD | |
375 N Wall St, Suite P410, Kankakee, IL 60901-3483 | |
(815) 932-7474 | |
(815) 937-8206 |
Full Name | Dr Roger Leon Taylor |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 49 Years |
Location | 375 N Wall St, Kankakee, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841285301 | NPI | - | NPPES |
036053609 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 036053609 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Presence St Marys Hospital | Kankakee, IL | Hospital |
Riverside Medical Center | Kankakee, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Presence Healthcare Services | 2860396769 | 317 |
Entity Name | Presence Healthcare Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356727127 PECOS PAC ID: 2860396769 Enrollment ID: O20150810001673 |
Mailing Address | Practice Location Address |
---|---|
Dr Roger Leon Taylor, MD 375 N Wall St, Suite P410, Kankakee, IL 60901-3483 Ph: (815) 932-7474 | Dr Roger Leon Taylor, MD 375 N Wall St, Suite P410, Kankakee, IL 60901-3483 Ph: (815) 932-7474 |
Ms. Patricia Azzarelli Lynch, CNP Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 375 N Wall St, Ste P410, Kankakee, IL 60901 Phone: 815-932-7474 Fax: 815-937-8206 | |
Dr. Lubow Olga Lewicky, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 375 N Wall St, Suite P410, Kankakee, IL 60901 Phone: 815-932-7474 Fax: 815-937-8206 | |
Dr. Felix El-daief, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2273 River Rd, Kankakee, IL 60901 Phone: 815-933-6162 | |
Dr. Renuka J Ramakrishna, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 400 N Wall St Ste 308, Kankakee, IL 60901 Phone: 815-936-7122 Fax: 815-936-7339 | |
Dr. Valerie Marie Goldfain, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 375 N Wall St, Ste P410, Kankakee, IL 60901 Phone: 815-932-7474 Fax: 815-937-8206 |