Dr. Martin T Phillips
Infectious Disease
555 W Court St Suite 108
Kankakee
, Illinois 60901-3664
Dr. Martin T Phillips
Infectious Disease
555 W Court St Suite 108
Kankakee
, Illinois 60901-3664
(630) 654-4253
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About
Features
Specialties
- Infectious Disease
Languages spoken
- English
Location
First Address
- Dr. Martin T Phillips
- 901 Mcclintock Dr Suite 202
- Burr Ridge, IL
- Zip : 60527-0844
- Fax : (630) 654-4253
- Phone : (888) 220-6432
Second Address
- Dr. Martin T Phillips
- 555 W Court St Suite 108
- Kankakee, IL
- Zip : 60901-3664
- Fax : (630) 654-4253
- Phone : (888) 220-6432
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RI0200X | Infectious Disease | 036-104648 | IL |
National Provider Identifier
| NPI | 1003802349 |
|---|---|
| Provider Name | Dr. Martin T Phillips |
| First Address | Burr Ridge, IL 60527-0844 |
| Second Address | Kankakee, IL 60901-3664 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/09/2005 |
| Last Update Date | 29/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036-104-648 | (05) | IL |
| 0420307 | (05) | IA |
| H81085 | (02) | IL |
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.