Nina L Taylor
Emergency Physician
1425 W Lincoln Hwy Northern Illinois University / Health Services
DeKalb
, Illinois 60115-2828
Nina L Taylor
Emergency Physician
1425 W Lincoln Hwy Northern Illinois University / Health Services
DeKalb
, Illinois 60115-2828
(815) 753-1311
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Nina L Taylor
- 1425 W Lincoln Hwy Northern Illinois University / Health Services
- Dekalb, IL
- Zip : 60115-2828
- Phone : (815) 753-1311
Second Address
- Nina L Taylor
- 1425 W Lincoln Hwy Northern Illinois University / Health Services
- Dekalb, IL
- Zip : 60115-2828
- Phone : (815) 753-1311
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 336-042152 | IL |
National Provider Identifier
| NPI | 1003973728 |
|---|---|
| Provider Name | Nina L Taylor |
| First Address | Dekalb, IL 60115-2828 |
| Second Address | Dekalb, IL 60115-2828 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/01/2007 |
| Last Update Date | 07/06/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 211332 | MEDICARE ID (01) | IL |
| E 18656 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.