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Individual

MELISSA PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9939 SOUTHWEST HWY, OAK LAWN, IL 60453-3767
(708) 424-0900
(708) 424-1715
Mailing address
9939 SOUTHWEST HWY, OAK LAWN, IL 60453-3767
(708) 424-0900
(708) 424-1715

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041414614
IL
363LP0200X
Pediatric Nurse Practitioner
Primary
209014913
IL

Other

Enumeration date
03/13/2017
Last updated
03/13/2017
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