Individual
DR. DEREK PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2732 N CLARK ST STE 300, CHICAGO, IL 60614-1553
(773) 250-1769
(773) 250-1769
Mailing address
2732 N CLARK ST STE 300, CHICAGO, IL 60614-1553
(773) 250-1769
(773) 250-1769
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
071.009513
IL
103TP0016X
Prescribing (Medical) Psychologist
Primary
074.000012
IL
Other
Enumeration date
10/10/2016
Last updated
12/29/2025
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