Ebony Roxanne Phillips

NPI #1316792500 in Chicago, Illinois

Provider Information

NPI Number
1316792500
Entity Type
Individual
Name
Ebony Roxanne Phillips
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Apr 22, 2024
Last Updated
Apr 22, 2024

Practice Location

Address
1 E ERIE ST STE 525-2055
ZIP Code
60611-2740
Phone
(773) 603-2276

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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