Individual
DR. KJ PHILIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2740 W FOSTER AVE., WEST TOWER SUITE 607, EVANSTON, IL 60202-3439
(773) 878-8200
(773) 293-4197
Mailing address
800 AUSTIN ST, WEST TOWER SUITE 607, EVANSTON, IL 60202-3439
(847) 475-6063
(847) 475-6065
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036049083
IL
207RH0003X
Hematology & Oncology Physician
Primary
036.049083
IL
Other
Enumeration date
08/10/2006
Last updated
02/26/2016
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