Individual
MAUREEN A PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14555 W NATIONAL AVE, NEW BERLIN, WI 53151-4494
(262) 693-4311
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036174434
IL
207Q00000X
Family Medicine Physician
Primary
40209
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32534300
—
WI
01
—
40209
LICENSE
WV
Enumeration date
12/06/2005
Last updated
07/14/2025
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