Provider Demographics
NPI:1437619673
Name:LOUI, TAYLOR MARI ULUWEHI (MD)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:MARI ULUWEHI
Last Name:LOUI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1950 N CAMPBELL AVE UNIT 415S
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-0018
Mailing Address - Country:US
Mailing Address - Phone:808-265-8195
Mailing Address - Fax:
Practice Address - Street 1:1950 N CAMPBELL AVE UNIT 415S
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-0018
Practice Address - Country:US
Practice Address - Phone:808-265-8195
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-22
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program