Individual
DR. PHILLIP TRAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-2908
(312) 926-2000
Mailing address
1650 W HARRISON ST, STE 466, CHICAGO, IL 60612-3800
(609) 977-4197
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
125-065857
IL
207R00000X
Internal Medicine Physician
125-065857
IL
Other
Enumeration date
06/24/2014
Last updated
12/31/2018
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