Taylor Lincoln, PA
NPI #1659809440 in Bourbonnais, Illinois
Provider Information
- NPI Number
- 1659809440
- Entity Type
- Individual
- Name
- Taylor Lincoln, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- May 24, 2017
- Last Updated
- Nov 4, 2024
Practice Location
- Address
- 6712 N CONVENT ST
- City
- Bourbonnais
- State
- Illinois
- ZIP Code
- 60914-1528
- Phone
- (815) 928-8050
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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