Phillips, Kenneth P.

Phillips, Kenneth P. is an individual health care provider with primary practice located at 7 Blanchard Cir Suite 201, Wheaton IL 60189-2039. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Phillips, Kenneth P. can be contacted via phone (630) 653-2300.

Contact Information

Primary practice address
7 Blanchard Cir Suite 201 Wheaton IL 60189-2039
Phone: (630) 653-2300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036062772 Illinois

Profile Details

NPI number 1538138748
LBN Legal business name Phillips, Kenneth P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Aug 2nd, 2008 - about 18 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 1538138748 NPPES
Illinois MEDICAID 036062772
Illinois Other 02215643
Illinois Other CA2795

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