Individual provider · Type 1 NPI

Taylor McKenna De Graaf, MD

Student in an Organized Health Care Education/Training Program · Maywood, IL

NPI number 1508706458 Active

Practice location

2160 S 1st Ave
Maywood, IL 60153-3328

Call (708) 327-2561 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X125.087974 (IL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1508706458

Taylor McKenna De Graaf, MD's National Provider Identifier is 1508706458, issued on Mar 31, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Maywood, IL. The record was last updated on Jun 1, 2026.