Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 070009102 | IL |
N | 2251X0800X | Physical Therapist - Orthopedic | 070009102 | IL |
NPI | 1750412474 |
---|---|
Provider Name | Ms. Sheila A. Taylor |
First Address | Grayslake, IL 60030-7822 |
Second Address | Grayslake, IL 60030-7822 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2007 |
Last Update Date | 04/03/2014 |