Taylor Brant McDowell
Physician Assistant, Medical in Riverwoods, IL. Individual provider (NPI-1).
NPI number1194354845
StatusActive
Last updated in NPPESMay 21, 2025
Details
- NPI
- 1194354845
- Entity type
- Individual (NPI-1)
- Name
- Taylor Brant McDowell
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 5, 2020
- Certification date
- May 21, 2025
- Last updated
- May 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 085.008745 | IL | Yes |
| 363A00000X | Physician Assistant | 10003647A | IN |
Practice location
3035 Blackthorn RdRiverwoods, IL 60015-3775
Phone 847-997-2973
Mailing address
3035 Blackthorn RdRiverwoods, IL 60015-3775
Phone 847-997-2973
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