Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 36076706 | IL |
NPI | 1215107123 |
---|---|
Provider Name | Dr. Arnold Gilbert Phillips |
First Address | Naperville, IL 60563-8602 |
Second Address | Naperville, IL 60563-8602 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2008 |
Last Update Date | 06/03/2008 |