Individual
BRANDON T PHILLIPS I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5080 N ELSTON AVE, CHICAGO, IL 60630-2459
(773) 769-4313
Mailing address
5080 N ELSTON AVE, CHICAGO, IL 60630-2459
(773) 769-7313
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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