Organization
K J PHILIP MDSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. K J PHILIP M.D. (M.D.)
(847) 475-6063
Entity
Organization
Contact information
Practice address
800 AUSTIN ST, SUITE 607, EVANSTON, IL 60202-3439
(847) 475-6063
(847) 475-6065
Mailing address
800 AUSTIN ST, SUITE 607, EVANSTON, IL 60202-3439
(847) 475-6063
(847) 475-6065
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036049083
IL
Other
Enumeration date
08/21/2006
Last updated
03/01/2012
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