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TAYLOR MEDICAL CENTER S.C. NPI 1285878801


NPI Information

NPI: 1285878801
Provider Name: TAYLOR MEDICAL CENTER S.C.
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 14D0909425

Address:
3223 SOUTH HARLEM AVE
BERWYN, IL
ZIP 60402
Phone: (708) 484-1800
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TAYLOR MEDICAL CENTER S.C. is a clinic center in Berwyn, IL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). TAYLOR MEDICAL CENTER S.C. NPI is 1285878801. The provider is registered as an organization entity type.

The provider's business location address is:

3223 SOUTH HARLEM AVE
BERWYN, IL
ZIP 60402
Phone: (708) 484-1800
Fax: (708) 484-1801

The provider's authorized official is Roberto J. Gutierrez .
The authorized official title is Medical Director and has the following contact phone number 17084841800.

The CLIA number assigned to this NPI record is 14D0909425 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/27/2009 and was last updated on 4/27/2009.


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
1261Q00000XClinic/Center=========ILLINOISYes

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: 11/14/2023

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.