TAYLOR FENDERBOSCH MD - NPI 1629862719 - Family Medicine in Chicago, IL

Q: What is Taylor Fenderbosch's NPI number?

The NPI number for Taylor Fenderbosch is 1629862719. It was assigned to this individual provider in the NPPES registry on April 5, 2025.

Q: What is Taylor Fenderbosch's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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About Taylor Fenderbosch Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAYLOR FENDERBOSCH MD (NPI 1629862719) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (125.086160) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1629862719

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameTAYLOR FENDERBOSCHCredential: MD

Location Address4600 N RAVENSWOOD AVEChicago, IL 60640-4510

Mailing Address4600 N Ravenswood AveChicago, IL 60640-4510 · (773) 561-7500 · Fax (773) 561-7612

Phone(773) 561-7500

Fax(773) 561-7612

Sole ProprietorNo

Enumeration DateApril 5, 2025

Last NPPES UpdateJune 17, 20253 updates tracked since enumeration

NPPES CertifiedJune 17, 2025

✔ NPI 1629862719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 125.086160

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4600 N RAVENSWOOD AVE, Chicago, IL 60640

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KERI LEAH FAIR M.D., PH.D.

Family Medicine

4600 N RAVENSWOOD AVE, 2ND FLOOR
CHICAGO, IL 60640

Cook County (773) 561-7500

DR. DAVID EUGENE KLEIN DO

Psychiatry & Neurology (Neurology)

4600 N RAVENSWOOD AVE
CHICAGO, IL 60640

Cook County (773) 561-7500

MEAGAN ROSE MCCORMICK DO

Family Medicine

4600 N RAVENSWOOD AVE
CHICAGO, IL 60640

Cook County (773) 561-7500

POOJA KANTHAWAR MD

Family Medicine

4600 N RAVENSWOOD AVE
CHICAGO, IL 60640

Cook County (773) 561-7500

MARIELA CANO M.D.

Family Medicine

4600 N RAVENSWOOD AVE, 2ND FLR
CHICAGO, IL 60640

Cook County (773) 561-7500

HEMISHA SANGANI DO

Family Medicine

4600 N RAVENSWOOD AVE
CHICAGO, IL 60640

Cook County (773) 561-7500

FARANAK NAJIBI M.D

Psychiatry & Neurology (Neurology)

4600 N RAVENSWOOD AVE
CHICAGO, IL 60640

Cook County (773) 561-7500

KIMBERLY ROWGHANI DO

Family Medicine

4600 N RAVENSWOOD AVE
CHICAGO, IL 60640

Cook County (773) 561-7500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Taylor Fenderbosch's NPI number?

The NPI number for Taylor Fenderbosch is 1629862719. It was assigned to this individual provider in the NPPES registry on April 5, 2025.

Where is Taylor Fenderbosch located?

Taylor Fenderbosch practices at 4600 N Ravenswood Ave, Chicago, IL 60640. The listed phone number is (773) 561-7500.

What is Taylor Fenderbosch's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Taylor Fenderbosch was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.