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Individual

PHILLIP S. LOSAVIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1611 W HARRISON ST, SUITE 550, CHICAGO, IL 60612-4861
(312) 942-6100
(312) 942-6225
Mailing address
1611 W HARRISON ST, SUITE 550, CHICAGO, IL 60612-4861
(312) 942-6100
(312) 942-6225

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036-113461
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036-113461
ILLINOIS MEDICAL LICENSE
IL
Enumeration date
05/09/2007
Last updated
04/15/2011
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