George E Dephillips Md Sc

NPI 1023377801 - Specialist - 174400000X

NPI Details
NPI 1023377801
Enumeration Date 05/14/2012
Last Updated 05/14/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name GEORGE E GEORGE
Position PRESIDENT
Phone (815) 741-2312
Fax
Practice Location
903 N 129TH INFANTRY DR STE 200
JOLIET IL, 60435-5002, US
Phone (815) 741-2312
Fax
Business Location
903 N 129TH INFANTRY DR STE 200
JOLIET IL, 60435-5002, US
Phone (815) 741-2312
Fax
Toxanomy
Taxonomy Code 174400000X
License State Illinois
License Number 036073278
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According to our database, George E Dephillips Md Sc NPI is 1023377801, taxonomy code is 174400000X and license number is 036073278, license state is located at Illinois. George E Dephillips Md Sc physically located at 903 N 129th Infantry Dr Ste 200, Joliet IL, 60435-5002. NPI Number 1033115704 has the healthcare provider type.

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1023377801 NPI number is provided on an as is basis without warranty of any kind. 1023377801 is maintained by the National Plan & Provider Enumeration System. The contents of George E Dephillips Md Sc are for informational purposes only.