Phillips, Bryan J

Phillips, Bryan J is an individual health care provider with primary practice located at 718 S Weber Road , Bolingbrook IL 60490. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Phillips, Bryan J can be contacted via phone (630) 378-4799.

Contact Information

Primary practice address
718 S Weber Road Bolingbrook IL 60490
Phone: (630) 378-4799
Fax: (630) 378-4783
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036098037 Illinois

Profile Details

NPI number 1114923497
LBN Legal business name Phillips, Bryan J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Jul 26th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114923497 NPPES
Illinois Other 180039547 RAILROAD MEDICARE
Illinois Other 0031600193 RAILROAD MEDICARE
Illinois MEDICAID 036098037 RAILROAD MEDICARE
Illinois Other K46495 RAILROAD MEDICARE
Illinois Other 3970320001 RAILROAD MEDICARE

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