Taylor, Pamela

Taylor, Pamela is an sole proprietor health care provider with primary practice located at 7611 S Crandon Ave , Chicago IL 60649-4116. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Agencies / Early Intervention Provider Agency. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist is her primary health care specialty. Taylor, Pamela can be contacted via phone (773) 510-4909.

Contact Information

Primary practice address
7611 S Crandon Ave Chicago IL 60649-4116
Phone: (773) 510-4909
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1609401298
LBN Legal business name Taylor, Pamela
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 4th, 2020
Last updated Mar 4th, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609401298 NPPES
Other 7611 NOT SURE

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