Individual
MR. CHARLES ALVIN PHILLIPS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
259 E 115TH ST, CHICAGO, IL 60628-5014
(773) 339-7394
(773) 339-7394
Mailing address
259 E 115TH ST, CHICAGO, IL 60628-5014
(773) 981-7816
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.118110
IL
Other
Enumeration date
06/17/2026
Last updated
06/17/2026
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