Look up the most recent NPI and PECOS records

Brianna Taylor

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

2003 W Fulton St Fl 4, Chicago, IL 60612-2345

PECOS Enrollment

Based on the most recent information from CMS, provider Brianna Taylor is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1083394480
Provider Type
Individual
Full Name
Taylor, Brianna
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
7/20/2023
Last Updated
12/20/2024

Contact Information

Practice Location

2003 W Fulton St Fl 4, Chicago, IL 60612-2345

(312) 243-2223

Unlisted Fax

Mailing Location

2003 W Fulton St Fl 3, Chicago, IL 60612-2345

(312) 243-2223

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 085009641 Illinois

Brianna Taylor

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Patel, Aiesha

Odgers, Kate

Wu, Nancy

Martinez, Nancy

Silva, Adelaida

Chitekwe, Ron C

Puzzella, Kathryn

Levine, Caitlin Sloan

Vlaming, Jessica K

Lukic, Nikola Aleksandar