Martin T Phillips MD

NPI 1003802349 - Internal Medicine - 207RI0200X

NPI Details
NPI 1003802349
Gender Male
Enumeration Date 09/22/2005
Last Updated 04/18/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
555 W COURT ST
SUITE 108
KANKAKEE IL, 60901-3664, US
Phone (888) 220-6432
Fax (630) 654-4253
Business Location
901 MCCLINTOCK DR
SUITE 202
BURR RIDGE IL, 60527-0844, US
Phone (888) 220-6432
Fax (630) 654-4253
Toxanomy
Taxonomy Code 207RI0200X
License State Illinois
License Number 036-104648
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According to our database, Dr. Martin T Phillips MD NPI is 1003802349, taxonomy code is 207RI0200X and license number is 036-104648, license state is located at Illinois. Martin T Phillips MD physically located at 555 W Court St, Kankakee IL, 60901-3664. NPI Number Martin T Phillips MD has the Individual type.

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1003802349 NPI number is provided on an as is basis without warranty of any kind. 1003802349 is maintained by the National Plan & Provider Enumeration System. The contents of Martin T Phillips MD are for informational purposes only.