K J Philip Mdsc

NPI #1407961923 in Evanston, Illinois

Provider Information

NPI Number: 1407961923
Entity Type: Organization
Organization Name: K J Philip Mdsc
Primary Specialty: Specialist
Enumeration Date: Aug 21, 2006
Last Updated: Mar 1, 2012

Practice Location

Address: 800 AUSTIN ST
Address 2: SUITE 607
City: Evanston
State: Illinois
ZIP Code: 60202-3439
Phone: (847) 475-6063

Authorized Official

Name: DR. K J PHILIP, M.D.
Title: M.D.
Phone: (847) 475-6063

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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