Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Taylor Jo Broder, MD

Individual provider Dermatology Physician · NPI 1508616947

Dr. Taylor Jo Broder, MD is a Dermatology Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2024.

Licensed in
IL
In the registry since
2024
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1950 W Polk St
Chicago, IL 60612-3723
Phone: (312) 864-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 125.084688 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1508616947
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2024
Last updated in NPPESJune 29, 2025
Certification dateJune 29, 2025
Mailing address820 S Wood St Ste 100, Chicago, IL 60612-4325

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