GEORGE E DEPHILLIPS MD SC (NPI# 1023377801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023377801 |
| Entity Type | Organization |
| Organization Name | GEORGE E DEPHILLIPS MD SC |
| Practice Address |
903 N 129th Infantry Dr Ste 200 Joliet IL 60435-5002 |
| Practice Telephone | 8157412312 |
| Mailing Telephone | 8157412312 |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2012-05-14 |
| Authorized Official Name | GEORGE E DEPHILLIPS (PRESIDENT) |
| Authorized Official Telephone | 8157412312 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 036073278 | IL | Other Service Providers |
| Street Address |
903 N 129TH INFANTRY DR STE 200 |
| City | JOLIET |
| State | IL |
| Zip Code | 60435-5002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| 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. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306223649 | Deborah Faynik | Specialist | 1004 Buell Ave, Joliet, IL 60435-6940 | 2015-05-06 |
| 1740693043 | Kara Lyn King | Specialist | 101 Hempstead Pl, Joliet, IL 60433-1745 | 2014-06-04 |
| 1235461096 | Kidney Care Center of Northern Illinois, LLC | Specialist | 95 N 129th Infantry Dr, Joliet, IL 60435-5134 | 2010-02-04 |
| 1245419464 | Kim Katherine Bradley | Specialist | 8211 Trumbull Ave, Joliet, IL 60431-4532 | 2007-10-25 |
| 1962604983 | Will County Ob Gyn Ltd | Specialist | 1114 N Larkin Ave, Joliet, IL 60435-3435 | 2007-06-01 |
| 1922158617 | Deborah M Freeman | Specialist | 30 Uno Cir, Joliet, IL 60435-6632 | 2007-01-12 |
| 1306904131 | Russell I Khater | Specialist | 1106 N Larkin Ave, Lower Level, Joliet, IL 60435-3455 | 2006-12-05 |
| 1801964473 | Pain Centers of Chicago LLC | Specialist | 301 North Madison Street, Suite 306, Joliet, IL 60435 | 2006-12-01 |
| 1417067596 | Innerpeace Natural Healthcare | Specialist | 1002 Infantry Drive, #e, Joliet, IL 60435-3010 | 2006-08-30 |
| 1609980549 | Kanchana Esariya-umpai | Specialist | 1026 Essington Rd, Joliet, IL 60435-2841 | 2006-08-18 |
| Find all providers in JOLIET | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.