Individual
CAITLIN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
205 W WACKER DR, CHICAGO, IL 60606-1216
(312) 640-0329
Mailing address
505 SAM DR APT C, SYCAMORE, IL 60178-9567
(714) 514-8495
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.003875
IL
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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