Provider Demographics
NPI:1659809440
Name:ATKINSON, TAYLOR R (PA)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:R
Last Name:ATKINSON
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Gender:F
Credentials:PA
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Mailing Address - Street 1:903 COMMERCE DR STE 333
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-8723
Mailing Address - Country:US
Mailing Address - Phone:630-928-5248
Mailing Address - Fax:630-571-8810
Practice Address - Street 1:400 S KENNEDY DR STE 100
Practice Address - Street 2:
Practice Address - City:BRADLEY
Practice Address - State:IL
Practice Address - Zip Code:60915-2685
Practice Address - Country:US
Practice Address - Phone:815-928-8050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-24
Last Update Date:2022-07-21
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant