IndividualActive
Jerome Taxy, MD
NPI 1649322322 · Clinical Pathology/Laboratory Medicine Physician · Burr Ridge, IL
Provider details
- NPI number
- 1649322322
- Entity type
- Individual
- Primary specialty
- Clinical Pathology/Laboratory Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
180 Harvester Dr Ste 110
Burr Ridge, IL 60527-6686
Phone: (773) 834-4064
Approximate (ZIP-level) locationGet directions
Mailing address
5841 S Maryland Ave # Mc1099
Chicago, IL 60637-1447
Registry dates
- Enumerated
- 2007-01-16
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.