Individual
SHEKILA NICOLE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3512 163RD ST, HAMMOND, IN 46323-1263
(708) 250-1140
Mailing address
3512 163RD ST, HAMMOND, IN 46323-1263
(708) 250-1140
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
842019433
—
IN
Enumeration date
06/17/2019
Last updated
06/17/2019
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