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Individual
DR. KATHERINE PHILLIPS
Active
Individual
DR. KATHERINE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
19027764
IL
1223G0001X
General Practice Dentistry
Primary
33213
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053431981
GROUP NPI
IL
01
—
1063649770
GROUP NPI
IL
01
—
1205145554
PRACTICE LOCATION TYPE II NPI
IL
01
—
1295165439
PRACTICE LOCATION TYPE II NPI
—
01
—
1306177241
PRACTICE LOCATION TYPE II NPI
IL
01
—
1508198474
PRACTICE LOCATION TYPE II NPI
IL
01
—
1760882005
PRACTICE LOCATION TYPE II NPI
—
Enumeration date
07/20/2008
Last updated
11/07/2022
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