ADAM PHILLIPS DPM NPI 1891227195

NPI Information

NPI: 1891227195
Provider Name: ADAM PHILLIPS, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
1801 W TAYLOR ST
CHICAGO, IL
ZIP 60612
Phone: (312) 996-1300
Get Directions

Adam Phillips, DPM is a foot and ankle surgery podiatrist in Chicago, IL with 7 years of experience. Adam Phillips, DPM NPI is 1891227195. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduation Year:2017

The provider's business location address is:

1801 W TAYLOR ST
CHICAGO, IL
ZIP 60612-795
Phone: (312) 996-1300
Fax: (312) 996-8814

The NPI 1891227195 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 3/28/2017 and was last updated on 3/13/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213EP1101X	Podiatrist	Primary Podiatric Medicine	016.005909	ILLINOIS	No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	016.005909	ILLINOIS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	016.005909	OTHER	ILLINOIS	ILLINOIS DIVISION OF PROFESSIONAL REGULATION- PODIATRY LICENSE

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: 5/5/2024

NPI Synchronization or Removal

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