Kimbrough, Taylor
Kimbrough, Taylor is an sole proprietor health care provider with primary practice located at 10733 Revere Rd , Mokena IL 60448-1903. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Kimbrough, Taylor can be contacted via phone (708) 837-8869.Contact Information
Primary practice address
10733 Revere Rd
Mokena IL 60448-1903
Phone: (708) 837-8869
Fax: (708) 694-7006
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 146010537 | Illinois |
Profile Details
| NPI number | 1821378266 |
|---|---|
| LBN Legal business name | Kimbrough, Taylor |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 17th, 2011 |
| Last updated | Sep 20th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821378266 | NPPES |
| Illinois | Other | 09932114 | BCBS |
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