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PRENTISS B TAYLOR M.D. NPI 1801055983


NPI Information

NPI: 1801055983
Provider Name: PRENTISS B TAYLOR, M.D.
Classification: Internal Medicine - 207R00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
9831 S WESTERN AVE
CHICAGO, IL
ZIP 60643
Phone: (773) 445-3500
Get Directions

Prentiss B Taylor, M.D. is an internal medicine in Chicago, IL with 46 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Prentiss B Taylor, M.D. NPI is 1801055983. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: HARVARD MEDICAL SCHOOL
Graduation Year:1978

The provider's business location address is:

9831 S WESTERN AVE
CHICAGO, IL
ZIP 60643-740
Phone: (773) 445-3500
Fax: (773) 445-0575

The NPI 1801055983 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/4/2008 and was last updated on 12/16/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine24029MISSISSIPPINo
2207R00000XInternal MedicineG86930CALIFORNIANo
3207R00000XInternal Medicine301696LOUISIANANo
4207R00000XInternal MedicineE-12633ARKANSASNo
5207R00000XInternal Medicine51482TENNESSEENo
6207R00000XInternal Medicine59992MINNESOTANo
7207R00000XInternal Medicine01059715AINDIANANo
8207R00000XInternal Medicine37632ARIZONANo
9207R00000XInternal Medicine28097NEBRASKANo
10207R00000XInternal Medicine04-37501KANSASNo
11207R00000XInternal Medicine9123410-1205UTAHNo
12207R00000XInternal MedicineMD-42030IOWANo
13207R00000XInternal Medicine2014029944MISSOURINo
14207R00000XInternal MedicineQ3298TEXASNo
15207R00000XInternal Medicine036-058964ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1036058964OTHERILLINOISLICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.