Phillips, David

Phillips, David is an individual health care provider with primary practice located at 1850 Gateway Dr , Sycamore IL 60178-3192. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Phillips, David can be contacted via phone (815) 758-8671.

Contact Information

Primary practice address
1850 Gateway Dr Sycamore IL 60178-3192
Phone: (815) 758-8671
Fax: (815) 758-5610
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-084642 Illinois

Profile Details

NPI number 1669484713
LBN Legal business name Phillips, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Jun 11th, 2012 - 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 1669484713 NPPES
Illinois Other 083075 HEALTH ALLIANCE
Illinois MEDICAID 036084642 HEALTH ALLIANCE

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