Individual
HERMAN CHARLES PHILLIPS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
165 S BLOOMINGDALE RD, BLOOMINGDALE, IL 60108-1434
(630) 980-8700
Mailing address
165 S BLOOMINGDALE RD, BLOOMINGDALE, IL 60108-1434
(630) 980-8700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
160.006109
IL
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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