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K J PHILIP MDSC NPI 1407961923


NPI Information

NPI: 1407961923
Provider Name: K J PHILIP MDSC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
800 AUSTIN ST
SUITE 607
EVANSTON, IL
ZIP 60202
Phone: (847) 475-6063
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K J PHILIP MDSC is a specialist in Evanston, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. K J PHILIP MDSC NPI is 1407961923. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

800 AUSTIN ST
SUITE 607
EVANSTON, IL
ZIP 60202-439
Phone: (847) 475-6063
Fax: (847) 475-6065

The provider's authorized official is K J Philip .
The authorized official title is M.d. and has the following contact phone number (847) 475-6063.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 3/1/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist036049083ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11239930001MEDICARE NSCILLINOIS
2L74226MEDICARE UPINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.