Doctor Name: | DR. GEORGE E DEPHILLIPS |
NPI Number: | 1841344215 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 036073278 |
Business Practice Address: | 903 N 129th Infantry Dr Ste 200 Joliet, IL - 604353171 |
Business Phone Number: | 8157412312 |
Business Fax Number: | 8157410612 |
Mailing Address: | 1205 S Main St, Ste 201 CROWN POINT |
State: | IN |
Postal Code: | 463073677 |
Phone Number: | 8157412312 |
Fax Number: | 8157410612 |
NPI Enumeration Date: | 01/23/2007 |
NPI Last Update Date: | 02/16/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 036073278 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy 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. |