DR. SHANTIERA NICOLE TAYLOR MD
NPI 1811747835
Surgery in Park Ridge, IL

Q: What is Shantiera Taylor's NPI number?

The NPI number for Shantiera Taylor is 1811747835. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Q: What is Shantiera Taylor's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Shantiera Taylor was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since March 25, 2024

1775 DEMPSTER ST, PARK RIDGE, IL 60068(847) 723-2210 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Shantiera Nicole Taylor Md NPPES

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

DR. SHANTIERA NICOLE TAYLOR MD (NPI 1811747835) is an individual surgery provider in Park Ridge, Illinois, licensed in Illinois (125.083988) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1811747835

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameDR. SHANTIERA NICOLE TAYLORCredential: MD

Location Address1775 DEMPSTER STPark Ridge, IL 60068-1143

Mailing Address1775 Dempster St # 48Park Ridge, IL 60068-1143 · (847) 723-2210 · Fax (847) 723-6987

Phone(847) 723-2210

Sole ProprietorNo

Enumeration DateMarch 25, 2024

Last NPPES UpdateJune 13, 2024

NPPES CertifiedJune 13, 2024

✔ NPI 1811747835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in IL · 125.083988

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

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

1775 DEMPSTER ST, Park Ridge, IL 60068

Open in Google Maps ↗

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.

MS. STACEY K ROLINE PA-C

Physician Assistant (Surgical)