Derrald G Taylor is a Optometrist in Chicago, Illinois. Derrald G Taylor practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Derrald G Taylor is 1497748982. The last update date is 2008-12-22.
Derrald G Taylor's current location address is 3241 S Michigan Ave, Chicago, Illinois. You can contact this provider via phone number 3129497259 and fax number 3129497638. The mailing address for Derrald G Taylor is 3241 S Michigan Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Derrald G Taylor |
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Address | 3241 S Michigan Ave, Chicago, Illinois |
Phone Number | 3129497259 |
Fax Number | 3129497638 |
Sole Proprietor | N |
Credentials | OD |
NPI Number Detail
NPI Number | 1497748982 |
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Provider Enumeration Date | 2005-08-30 |
Last Updated Date | 2008-12-22 |
Provider Mailing Address Detail
Address | 3241 S Michigan Ave |
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City | Chicago |
State | Illinois (IL) |
Post Code | 606163849 |
Phone Number | 3129497259 |
Fax Number | 3129497638 |
Provider's Primary Taxonomy Detail
Speciality | Optometrist |
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Taxonomy | 152W00000X |
Licence No | 46006305 |
Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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46006305 | IL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Derrald G Taylor by the Centers for Medicare & Medicaid Services?
The Derrald G Taylor has been issued the NPI (National Provider Identifier) 1497748982. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Derrald G Taylor?
The Derrald G Taylor is situated at 3241 S Michigan Ave, in the city of Chicago, state of IL, with the zip code 606163849.
What is Derrald G Taylor's specialized field of practice, and what is the corresponding taxonomy classification code?
The Derrald G Taylor's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.
On what date did the Derrald G Taylor receive the assignment of its 1497748982 from the Centers for Medicare & Medicaid Services?
The Derrald G Taylor was issued its 1497748982 by the Centers for Medicare & Medicaid Services on 2005-08-30.
As of what date were the details pertaining to Derrald G Taylor last refreshed?
The information related to the Derrald G Taylor, including its address, specialty, and other relevant details, was last updated on 2008-12-22.