TAYLOR COMSTOCK


Address: 4115 Fairview Ave, Downers Grove, IL 60515-2268
Phone: 6309681881

TAYLOR COMSTOCK (NPI# 1649607953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Providers TAYLOR COMSTOCK

NPI Name Taxonomy Address Enumeration
1235685850 Taylor Comstock Counselor 658 E Brier Dr Suite 200, San Bernardino, CA 92415-1622 2016-09-01

Office Location

Street Address 4115 FAIRVIEW AVE
City DOWNERS GROVE
State IL
Zip Code 60515-2268

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City DOWNERS GROVE
Zip Code 60515

Improve Information

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Dataset Information

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.

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