Individual
PHILLIP EDWARD STILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1010 FAIRWAY DR, FREEPORT, IL 61032-6600
(815) 599-7831
Mailing address
421 W EXCHANGE ST, PO BOX 268, FREEPORT, IL 61032-4008
(815) 599-7958
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
422
MT
Other
Enumeration date
07/13/2006
Last updated
11/11/2009
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