Individual
PHILIP A DY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
905 MEDICAL PARK DR, EFFINGHAM, IL 62401
(217) 342-2066
(217) 342-2074
Mailing address
PO BOX 25228, DECATUR, IL 62525-5228
(217) 329-3232
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
036097243
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036097243
—
IL
Enumeration date
10/12/2006
Last updated
07/03/2025
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