George E Dephillips MD Sc

NPI #1023377801 in Joliet, Illinois

Provider Information

NPI Number: 1023377801
Entity Type: Organization
Organization Name: George E Dephillips MD Sc
Primary Specialty: Specialist
Enumeration Date: May 14, 2012
Last Updated: May 14, 2012

Practice Location

Address: 903 N 129TH INFANTRY DR STE 200
City: Joliet
State: Illinois
ZIP Code: 60435-5002
Phone: (815) 741-2312

Authorized Official

Name: GEORGE E DEPHILLIPS, MD
Title: PRESIDENT
Phone: (815) 741-2312

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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