Individual
CYNTHIA PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11200 W LINCOLN HWY, MOKENA, IL 60448-8208
(815) 464-2171
Mailing address
11200 W LINCOLN HWY, MOKENA, IL 60448-8208
(815) 464-2171
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209008151
IL
Other
Enumeration date
03/23/2011
Last updated
03/23/2011
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