Individual
ADAM PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1801 W TAYLOR ST, CHICAGO, IL 60612-4795
(312) 996-1300
(312) 996-8814
Mailing address
1801 W TAYLOR ST, CHICAGO, IL 60612-4795
(312) 996-1300
(312) 996-8814
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
016.005909
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016.005909
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016.005909
ILLINOIS DIVISION OF PROFESSIONAL REGULATION- PODIATRY LICENSE
IL
Enumeration date
03/28/2017
Last updated
03/13/2023
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