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Contact Information

TAYLOR TENNILL, MD
1025 S 6TH ST
SPRINGFIELD, IL62703
 Phone: 217-528-7541
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for TAYLOR TENNILL · (Female)

NPI Number 1801202833
Status Active
Credentials MD
Entity Individual
Enumeration date 07/10/2014
Last updated 05/19/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036145217
Hospital affiliation(s)
  • MEMORIAL MEDICAL CENTER - (Acute Care)
    701 N FIRST ST
    SPRINGFIELD, IL 62781
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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