Individual
DR. ALEXANDER KONSTANTINE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6801 W 34TH STREET, BERWYN, IL 60402-3420
(708) 484-0011
(708) 484-0549
Mailing address
15 SALT CREEK LANE, SUITE 119, HINSDALE, IL 60521-2962
(630) 734-9560
(630) 734-9565
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036066557
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036066557
—
IL
Enumeration date
08/10/2005
Last updated
01/11/2010
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