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K J Philip Mdsc
Specialist in Evanston, Illinois
NPI 1407961923

K J Philip Mdsc is a Specialist based in Evanston, IL. K J Philip Mdsc practices in Evanston, IL. The NPI Number for K J Philip Mdsc is 1407961923 and holds a License No. 036049083 (Illinois).

The current practice location address for K J Philip Mdsc is 800 Austin St, Evanston, IL and can be reached out via phone at 847-475-6063 and via fax at 847-475-6065.

Location: 800 Austin St, Evanston, IL, 60202-3439
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407961923
Provider Name
K J Philip Mdsc
Credential
Provider Entity Type
Organization
Address
800 Austin St, Evanston, IL, 60202-3439
Phone Number
847-475-6063
Fax Number
847-475-6065
Provider Enumeration Date
08/21/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
800 Austin St
City
Evanston
State
Illinois
Zip
60202-3439
Phone Number
847-475-6063
Fax Number
847-475-6065
person
Provider Business Mailing Address Details
Address
800 Austin St
City
Evanston
State
Illinois
Zip
60202-3439
Phone Number
847-475-6063
Fax Number
847-475-6065
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
036049083 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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