Cynthia Phillips
Nurse Practitioner - Family Medicine
11200 W Lincoln Hwy
Mokena
, Illinois 60448-8208
Cynthia Phillips
Nurse Practitioner - Family Medicine
11200 W Lincoln Hwy
Mokena
, Illinois 60448-8208
(815) 464-2171
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Cynthia Phillips
- 11200 W Lincoln Hwy
- Mokena, IL
- Zip : 60448-8208
- Phone : (815) 464-2171
Second Address
- Cynthia Phillips
- 11200 W Lincoln Hwy
- Mokena, IL
- Zip : 60448-8208
- Phone : (815) 464-2171
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 209008151 | IL |
National Provider Identifier
| NPI | 1003115593 |
|---|---|
| Provider Name | Cynthia Phillips |
| First Address | Mokena, IL 60448-8208 |
| Second Address | Mokena, IL 60448-8208 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/03/2011 |
| Last Update Date | 23/03/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.