Individual
MS. LA SHAWN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1664 BRIARHEATH DR, AURORA, IL 60505-5533
(630) 747-7930
Mailing address
1664 BRIARHEATH DR, AURORA, IL 60505-5533
(630) 747-7930
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000
NONE
—
Enumeration date
08/01/2022
Last updated
08/01/2022
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