Individual
DR. DAVID N PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
775 WAUKEGAN RD, SUITE 200, DEERFIELD, IL 60015-4342
(800) 317-0711
(800) 434-7113
Mailing address
728 E POPLAR ST, BOONVILLE, IN 47601-1362
(812) 897-1895
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001663A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000339139
ANTHEM
IN
05
—
100254340
—
IN
Enumeration date
01/14/2006
Last updated
05/09/2008
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