TAYLOR WEN PA-C NPI 1366263394

NPI Information

  • NPI: 1366263394
  • Provider Name: TAYLOR WEN, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9858 S WESTERN AVE
    EVERGREEN PARK, IL
    ZIP 60805
  • Phone: (312) 705-9750

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NPI Details

Taylor Wen, PA-C is a medical physician assistant in Evergreen Park, IL with 2 years of experience. Taylor Wen, PA-C NPI is 1366263394. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduation Year:2024

The provider's business location address is:

9858 S WESTERN AVE
EVERGREEN PARK, IL
ZIP 60805-200
Phone: (312) 705-9750
Fax: (312) 261-8962

The NPI 1366263394 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 10/22/2024 and was last updated on 8/5/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalYes

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: 11/21/2025

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