Most Relevant Information
Provider Data
| NPI Number: | 1003425364 |
| Provider Name: | JILAINA J TAYLOR MSN/FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 209021159 |
Most Important Dates
| Enumeration Date: | 07/23/2020 |
| Last Updated: | 02/24/2023 |
Provider Practice Location
1400 OTTO BLVD
CHICAGO HEIGHTS
IL
604113871
Practice Location Phone/Fax
| Phone: | 7087337200 |
| Fax: | 7087337222 |
Provider Mailing Location
35318 EAGLE WAY
CHICAGO
IL
606781353
Provider Mailing Phone/Fax
| Phone: | 3175284800 |
| Fax: | 3178651479 |