BRYAN J PHILLIPS (NPI# 1114923497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114923497 |
| Entity Type | Individual |
| Full Name | BRYAN J PHILLIPS |
| Credential | M.D. |
| Practice Address |
718 S Weber Road Bolingbrook IL 60490 |
| Practice Telephone | 6303784799 |
| Practice Fax Number | 6303784783 |
| Mailing Telephone | 6303784799 |
| Mailing Fax Number | 6303784783 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2013-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 036098037 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036098037 | 05 | |
| IL | BLUE SHIELD | 0031600193 | 01 |
| IL | DMERC | 3970320001 | 01 |
| IL | RAILROAD MEDICARE | 180039547 | 01 |
| IL | MEDICARE PROVIDER NUMBER | K46495 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629076278 | Bryan L Phillips | Pediatrics | 1600 Nw South Outer Rd, Blue Springs, MO 64015-2963 | 2005-07-08 |
| 1568983922 | Bryan O Phillips | Physician Assistant | 400 Burdick Expy E, Minot, ND 58701-4768 | 2017-07-06 |
| 1083095608 | Bryan Michael Phillips | Massage Therapist | 1565 Saxon Blvd, Ste 301, Deltona, FL 32725-5876 | 2015-06-10 |
| 1205900065 | Bryan Robert Phillips | Physical Therapist | 1650 Lead Hill Blvd, 300, Roseville, CA 95661-3061 | 2006-11-20 |
| 1396826624 | Bryan R Phillips | Counselor | 2411 Martin Luther King Blvd, Eugene, OR 97401 | 2006-10-17 |
| 1962459255 | Bryan S Phillips | Social Worker | 560 Meyerland Plaza Mall, Houston, TX 77096-1615 | 2006-05-30 |
| Street Address |
718 S WEBER ROAD |
| City | BOLINGBROOK |
| State | IL |
| Zip Code | 60490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104981455 | Bryan J. Phillips,m.d.,s.c. | Ophthalmology | 718 S Weber Road, Bolingbrook, IL 60490 | 2006-12-27 |
| 1235293630 | Dawn Renee Phillips | Ophthalmology | 718 S Weber Road, Bolingbrook, IL 60490 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477055945 | Myeyedr Optometry of Illinois, LLC | Optometrist | 310 S Weber Road, Bolingbrook, IL 60490 | 2018-03-01 |
| 1609391812 | Christian Joy Lazaro Pangan | Physical Therapist | 306 Chick Evans St, Bolingbrook, IL 60490 | 2017-08-09 |
| 1922522515 | David-jamahl Ardison | Physical Therapist | 194 N Weber Road, Bolingbrook, IL 60490 | 2017-07-26 |
| 1508261298 | Haytham El-genedy | Chiropractor | 319 Veterans Pakwy Bolingbrook, Bolingbrook, IL 60490 | 2014-10-24 |
| 1568710465 | Anthony M Buonamici | Specialist/Technologist | 313 North Weber Road, Bolingbrook, IL 60490 | 2012-08-27 |
| 1235329384 | Fayez Mekhael Nagib Mekhael | Family Medicine | 2136 Mark Cir, Bolingbrook, IL 60490 | 2007-07-25 |
| 1841350584 | Mary M. Grimwood | Optometrist | 141 N. Weber Rd., Bolingbrook, IL 60490 | 2006-12-11 |
| 1154337962 | Nurses On Calls, Inc. | Home Health | 1475 Basswood Dr, Bolingbrook, IL 60490 | 2006-08-01 |
| 1801841150 | David E Zacher | Pharmacist | 1920 Danube Way, Bolingbrook, IL 60490 | 2006-05-24 |
| 1144229816 | Patricia Lee Colledge | Nurse Practitioner | 149 N Weber Rd, Bolingbrook, IL 60490 | 2005-07-15 |
| Find all providers in zip 60490 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992764625 | Rajakumari Prakash Selvaraj | Ophthalmology | 393 Remington Blvd., Suite 340, Bolingbrook, IL 60440-3442 | 2006-03-21 |
| 1619936358 | West Suburban Eye Center, S.c. | Ophthalmology | 396 Remington Blvd., Suite 340, Bolingbrook, IL 60440-3442 | 2006-03-21 |
| 1467454124 | Prakash Selvaraj | Ophthalmology | 396 Remington Blvd, Suite 340, Bolingbrook, IL 60440-1732 | 2005-08-12 |
| 1104981455 | Bryan J. Phillips,m.d.,s.c. | Ophthalmology | 718 S Weber Road, Bolingbrook, IL 60490 | 2006-12-27 |
| 1235293630 | Dawn Renee Phillips | Ophthalmology | 718 S Weber Road, Bolingbrook, IL 60490 | 2006-12-20 |
| 1154372845 | Sujaya P Rupani | Ophthalmology | 396 Remington Blvd, Suite 340, Bolingbrook, IL 60440-3466 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433473 | Chicagoland Eye Consultants, Sc | Ophthalmology | 477 E Butterfield Rd Ste 101, Lombard, IL 60148-4880 | 2020-09-30 |
| 1649894189 | Lakeshore Ophthalmology, LLC | Ophthalmology | 2525 S Michigan Ave Fl 8, Chicago, IL 60616-2315 | 2020-06-01 |
| 1053940460 | Neil L Ross | Ophthalmology | 950 N Michigan Ave Apt 5403, Chicago, IL 60611-7535 | 2020-04-07 |
| 1932730256 | Cereesa E. Longest Md Sc | Ophthalmology | 225 Oak Knoll Rd, Barrington, IL 60010-2615 | 2020-01-27 |
| 1497314181 | Ophthalmology Surgery Center of Illinois, LLC | Ophthalmology | 1300 N Arlington Heights Rd Ste 150, Itasca, IL 60143-3128 | 2019-06-06 |
| 1770149049 | Rop Consultants LLC | Ophthalmology | 5228 N Virginia Ave, Chicago, IL 60625-4015 | 2019-05-13 |
| 1962969881 | Monique Munro | Ophthalmology | 1855 W Taylor Street. Suite 3138 Illinois Eye and Infir, Chicago, IL 60612 | 2019-02-27 |
| 1679039457 | Laser and Cataract Institute, LLC | Ophthalmology | 22200 Wolf Rd, Frankfort, IL 60423-7721 | 2019-02-15 |
| 1063987345 | Chataam Optical LLC | Ophthalmology | 8741 S Greenwood Ave Ste 108, Chicago, IL 60619-7058 | 2018-10-12 |
| 1922507474 | Dekalb Eye Consultants, LLC | Ophthalmology | 1075 Featherstone Rd Ste 10, Rockford, IL 61107-5906 | 2018-02-09 |
| Find all providers with the same taxonomy | ||||
| City | BOLINGBROOK |
| Zip Code | 60490 |
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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.