Individual
DANIELLE NICOLE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOT
Contact information
Practice address
3545 LAKE AVE, WILMETTE, IL 60091-1058
(847) 529-8612
Mailing address
2215 NOYES ST, EVANSTON, IL 60201-2559
(847) 529-8612
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.015632
IL
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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