Dr. Scott Brent Phillips
Dermatologist
1431 N Claremont Ave
Chicago
, Illinois 60622-1702
Dr. Scott Brent Phillips
Dermatologist
1431 N Claremont Ave
Chicago
, Illinois 60622-1702
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Dr. Scott Brent Phillips
- 400 E Randolph St
- Chicago, IL
- Zip : 60601-5037
- Phone :
Second Address
- Dr. Scott Brent Phillips
- 1431 N Claremont Ave
- Chicago, IL
- Zip : 60622-1702
- Phone : (312) 633-5857
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 036087861 | IL |
National Provider Identifier
| NPI | 1053369967 |
|---|---|
| Provider Name | Dr. Scott Brent Phillips |
| First Address | Chicago, IL 60601-5037 |
| Second Address | Chicago, IL 60622-1702 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/05/2006 |
| Last Update Date | 01/04/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E85587 | (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.