TAYLOR COMSTOCK (NPI# 1649607953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649607953 |
Entity Type | Individual |
Full Name | TAYLOR COMSTOCK |
Credential | PA |
Practice Address |
4115 Fairview Ave Downers Grove IL 60515-2268 |
Mailing Address |
1860 Paysphere Cir Chicago IL 60674-0018 |
Practice Telephone | 6309681881 |
Enumeration Date | 2013-10-01 |
Last Update Date | 2013-10-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
085004843 | IL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235685850 | Taylor Comstock | Counselor | 658 E Brier Dr Suite 200, San Bernardino, CA 92415-1622 | 2016-09-01 |
Street Address |
4115 FAIRVIEW AVE |
City | DOWNERS GROVE |
State | IL |
Zip Code | 60515-2268 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235126962 | Jennifer Johnson | Physician Assistant | 4115 Fairview Ave, Downers Grove, IL 60515-2268 | 2005-09-27 |
1306476189 | Erin Gibson | Occupational Therapist | 4115 Fairview Ave, Downers Grove, IL 60515-2268 | 2020-01-22 |
1760038673 | Joseph Kennedy | Physical Therapist | 4115 Fairview Ave, Downers Grove, IL 60515-2268 | 2019-08-15 |
1073010245 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 4115 Fairview Ave, Downers Grove, IL 60515-2268 | 2018-04-12 |
1952828162 | Magdalena A Czerniak | Physical Therapist | 4115 Fairview Ave, Downers Grove, IL 60515-2268 | 2017-08-28 |
1457877508 | Danielle Marie Brandonisio | Nurse Practitioner | 4115 Fairview Ave, Downers Grove, IL 60515-2268 | 2017-08-21 |
1235674128 | Jessica Genslinger | Physician Assistant | 4115 Fairview Ave, Downers Grove, IL 60515-2268 | 2016-12-30 |
1578910899 | Alexandria L Cismesia | Occupational Therapist | 4115 Fairview Ave, Downers Grove, IL 60515-2268 | 2016-05-17 |
1497121115 | Nicole Melfi | Physical Therapist | 4115 Fairview Ave, Downers Grove, IL 60515-2268 | 2015-08-17 |
1720485238 | Shobita Chander | Physician Assistant | 4115 Fairview Ave, Downers Grove, IL 60515-2268 | 2014-11-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
1588122568 | Jennifer Solis-english | Family Medicine | Physician Office Center, Tower 2, 3825 Highland Avenue Suite 306, Downers Grove, IL 60515 | 2019-03-07 |
1679039358 | Remedi Seniorcare of Chicago, LLC | Pharmacy | 3600 Lacey Road, Suite 500, Downers Grove, IL 60515 | 2019-02-18 |
1639651094 | Ann Marie Olson | Occupational Therapy Assistant | 3450 Saratoga Ave., Downers Grove, IL 60515 | 2018-09-02 |
1598242802 | Angela Gathings | Nurse Practitioner | 1020 31st St, Downers Grove, IL 60515 | 2018-07-20 |
1013408194 | Amer Shammaa | Dentist | 1008 Braemoor Dr, Downers Grove, IL 60515 | 2018-05-23 |
1174020994 | Leslie A Kula-leitner | Social Worker | Alder Grove Counseling, 4923 Main Street, Downers Grove, IL 60515 | 2018-04-09 |
1588176390 | Tammy Marie Tunac | Counselor | 2001 Butterfield Road, Suite 320, Downers Grove, IL 60515 | 2017-11-02 |
1366976466 | Giannasi Mental Health Counselors | Counselor | 921 Curtiss Street, Downers Grove, IL 60515 | 2017-04-14 |
1194258079 | Alyssa Stylski | Dentist | 2001 Butterfield Rd Ste 140, Downers Grove, IL 60515 | 2017-04-06 |
Find all providers in zip 60515 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609323013 | Hani Ssaai | Physician Assistant | 6021 Blodgett Ave, Downers Grove, IL 60516-2009 | 2016-09-01 |
1417228669 | Corazon Tansioco Sambo | Physician Assistant | 1619 Concord Dr, Downers Grove, IL 60516-3123 | 2012-01-19 |
1053957746 | Jennifer Phillips | Physician Assistant | 6330 Belmont Rd Ste 5, Downers Grove, IL 60516-2126 | 2019-11-18 |
1861985889 | Saai Professional Surgical Services, Ltd | Physician Assistant | 6021 Blodgett Ave, Downers Grove, IL 60516-2009 | 2018-06-13 |
1942747720 | Vosit Ermatov | Physician Assistant | 6330 Belmont Rd Ste 5, Downers Grove, IL 60516-2126 | 2017-01-31 |
1073065751 | Erin Colleen Erickson | Physician Assistant | 3825 Highland Ave, Tower 2 Suite 303, Downers Grove, IL 60515-1552 | 2016-10-28 |
1649689555 | Kristin Redfearn | Physician Assistant | 1100 31st St, Suite 300, Downers Grove, IL 60515-5509 | 2014-08-05 |
1689918336 | Rebecca Plutz | Physician Assistant | 2650 Warrenville Rd, Ste. 280, Downers Grove, IL 60515-1748 | 2012-11-19 |
1407013857 | Yuriy Gribovich | Physician Assistant | 3825 Highland Ave, Downers Grove, IL 60515-1552 | 2008-05-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477169522 | Priority Assist Pllc | Physician Assistant | 48 Glenda Ln, Plano, IL 60545-9652 | 2020-09-23 |
1154944478 | Diana Goldak | Physician Assistant | 3855 N Parkway Dr Apt 3a, Northbrook, IL 60062-7218 | 2020-05-20 |
1033742580 | Colleen Courtney | Physician Assistant | 218 S Driftwood Trl, Mchenry, IL 60050-5454 | 2020-02-12 |
1326678962 | Nina Kodros | Physician Assistant | 301 Madison St Ste 280, Joliet, IL 60435-6672 | 2020-01-23 |
1689218190 | Jennifer Richman | Physician Assistant | 1890 Silver Cross Blvd Ste 410, New Lenox, IL 60451-9547 | 2019-10-29 |
1710547625 | Nadia Khan | Physician Assistant | 4543 N Malden St Apt 1s, Chicago, IL 60640-5687 | 2019-06-13 |
1962065516 | Jorge Mantilla | Physician Assistant | 5540 N Kimball Ave Apt 3e, Chicago, IL 60625-4674 | 2019-04-18 |
1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
1770041949 | Laura Ann Ryan | Physician Assistant | 840 S Wood St Ste 417, Chicago, IL 60612-4325 | 2019-03-06 |
1548739782 | Helen Finke | Physician Assistant | 880 W Central Rd Ste 3300, Arlington Heights, IL 60005-2366 | 2018-11-16 |
Find all providers with the same taxonomy |
City | DOWNERS GROVE |
Zip Code | 60515 |
Please comment or provide details below to improve the information on TAYLOR COMSTOCK.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.