Phillips, Nicole C

Phillips, Nicole C is an individual health care provider with primary practice located at 7511 Lemont Rd Suite 204, Darien IL 60561-4394. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Phillips, Nicole C can be contacted via phone (630) 985-4010.

Contact Information

Primary practice address
7511 Lemont Rd Suite 204 Darien IL 60561-4394
Phone: (630) 985-4010
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 07-0017097 Illinois

Profile Details

NPI number 1730314964
LBN Legal business name Phillips, Nicole C
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2009
Last updated Mar 8th, 2010 - about 16 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 1730314964 NPPES
Illinois Other P00790089 MEDICARE RR

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