Individual
MISS OLABIMPE PHILIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1339 W LAKE ST, ADDISON, IL 60101-1836
(630) 930-5600
Mailing address
1339 W LAKE ST, ADDISON, IL 60101-1836
(630) 930-5600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
029348-01
NY
363A00000X
Physician Assistant
Primary
085004481
IL
363A00000X
Physician Assistant
5601011454
MI
Other
Enumeration date
10/03/2012
Last updated
12/29/2022
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